Provider Demographics
NPI:1003326943
Name:KORAH, SHILPA (PHARMD)
Entity type:Individual
Prefix:DR
First Name:SHILPA
Middle Name:
Last Name:KORAH
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:606 LILLY RD NE APT 821
Mailing Address - Street 2:
Mailing Address - City:OLYMPIA
Mailing Address - State:WA
Mailing Address - Zip Code:98506-6905
Mailing Address - Country:US
Mailing Address - Phone:214-228-7569
Mailing Address - Fax:
Practice Address - Street 1:12040 NE 128TH ST
Practice Address - Street 2:TAN 415/ MS31
Practice Address - City:KIRKLAND
Practice Address - State:WA
Practice Address - Zip Code:98034-9803
Practice Address - Country:US
Practice Address - Phone:425-899-2783
Practice Address - Fax:425-899-2784
Is Sole Proprietor?:No
Enumeration Date:2017-10-05
Last Update Date:2021-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX61453183500000X
WAPH60771217183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist