Provider Demographics
NPI:1780945972
Name:QFC
Entity type:Organization
Organization Name:QFC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST
Authorized Official - Prefix:
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:
Authorized Official - Last Name:CHUNG
Authorized Official - Suffix:
Authorized Official - Credentials:BS PHARMACY
Authorized Official - Phone:206-782-4100
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
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:KROGER
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-06-04
Last Update Date:2012-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA000561943336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy