Provider Demographics
NPI:1780939421
Name:CHUNG, SARAH I (RPH)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:I
Last Name:CHUNG
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9999 HOLMAN RD NW
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98117-2041
Mailing Address - Country:US
Mailing Address - Phone:206-782-4100
Mailing Address - Fax:206-784-7196
Practice Address - Street 1:9999 HOLMAN RD NW
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98117-2041
Practice Address - Country:US
Practice Address - Phone:206-782-4100
Practice Address - Fax:206-784-7196
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-18
Last Update Date:2012-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH60020589183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist