Provider Demographics
NPI:1942502331
Name:TAYI, SAI (BPHARM)
Entity Type:Individual
Prefix:MR
First Name:SAI
Middle Name:
Last Name:TAYI
Suffix:
Gender:M
Credentials:BPHARM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 AUBURN WAY S
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:WA
Mailing Address - Zip Code:98002-5425
Mailing Address - Country:US
Mailing Address - Phone:253-735-4404
Mailing Address - Fax:253-939-8614
Practice Address - Street 1:101 AUBURN WAY S
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:WA
Practice Address - Zip Code:98002-5425
Practice Address - Country:US
Practice Address - Phone:253-735-4404
Practice Address - Fax:253-939-8614
Is Sole Proprietor?:No
Enumeration Date:2010-11-17
Last Update Date:2010-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH 00054653183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist