Provider Demographics
NPI:1891069613
Name:FUJII, DONNA RAE (RPH)
Entity Type:Individual
Prefix:MS
First Name:DONNA
Middle Name:RAE
Last Name:FUJII
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17667 NE 76TH ST
Mailing Address - Street 2:
Mailing Address - City:REDMOND
Mailing Address - State:WA
Mailing Address - Zip Code:98052-4994
Mailing Address - Country:US
Mailing Address - Phone:425-556-8033
Mailing Address - Fax:425-556-8027
Practice Address - Street 1:17667 NE 76TH ST
Practice Address - Street 2:
Practice Address - City:REDMOND
Practice Address - State:WA
Practice Address - Zip Code:98052-4994
Practice Address - Country:US
Practice Address - Phone:425-556-8033
Practice Address - Fax:425-556-8027
Is Sole Proprietor?:No
Enumeration Date:2012-02-24
Last Update Date:2012-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH00009848183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist