Provider Demographics
NPI:1992023329
Name:YOON, SUNG EUN (PHARMD, MBA)
Entity Type:Individual
Prefix:
First Name:SUNG
Middle Name:EUN
Last Name:YOON
Suffix:
Gender:F
Credentials:PHARMD, MBA
Other - Prefix:
Other - First Name:HELENA
Other - Middle Name:
Other - Last Name:YOON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHARMD, MBA
Mailing Address - Street 1:4412 RAINIER AVE S
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98118-1373
Mailing Address - Country:US
Mailing Address - Phone:206-760-7880
Mailing Address - Fax:
Practice Address - Street 1:4412 RAINIER AVE S
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98118-1373
Practice Address - Country:US
Practice Address - Phone:206-760-7880
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-05-10
Last Update Date:2010-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH60099705183500000X
KS1-14663183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist