Provider Demographics
NPI:1295783686
Name:LAI, BRYAN YUK KWAN (BSC PHARM)
Entity type:Individual
Prefix:MR
First Name:BRYAN
Middle Name:YUK KWAN
Last Name:LAI
Suffix:
Gender:M
Credentials:BSC PHARM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1301 1ST AVE
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98101-2138
Mailing Address - Country:US
Mailing Address - Phone:206-979-9015
Mailing Address - Fax:
Practice Address - Street 1:222 PIKE ST
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98101-2108
Practice Address - Country:US
Practice Address - Phone:206-903-8392
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH00052143183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist