Provider Demographics
NPI:1255631768
Name:BUN, RADEE (PHARMD)
Entity type:Individual
Prefix:DR
First Name:RADEE
Middle Name:
Last Name:BUN
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2622 CALIFORNIA AVE SW
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98116-2459
Mailing Address - Country:US
Mailing Address - Phone:206-938-0103
Mailing Address - Fax:206-937-8604
Practice Address - Street 1:2622 CALIFORNIA AVE SW
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98116-2459
Practice Address - Country:US
Practice Address - Phone:206-938-0103
Practice Address - Fax:206-937-8604
Is Sole Proprietor?:No
Enumeration Date:2010-10-30
Last Update Date:2010-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH 00065780183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist