Provider Demographics
NPI:1053791863
Name:UNIVERSITY OF WASHINGTON SCHOOL OF PHARMACY
Entity type:Organization
Organization Name:UNIVERSITY OF WASHINGTON SCHOOL OF PHARMACY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:STUDENT
Authorized Official - Prefix:
Authorized Official - First Name:IVAN
Authorized Official - Middle Name:JIAYONG
Authorized Official - Last Name:HUANG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:425-829-2287
Mailing Address - Street 1:13907 25TH PL W
Mailing Address - Street 2:
Mailing Address - City:LYNNWOOD
Mailing Address - State:WA
Mailing Address - Zip Code:98087-1220
Mailing Address - Country:US
Mailing Address - Phone:425-829-2287
Mailing Address - Fax:
Practice Address - Street 1:13907 25TH PL W
Practice Address - Street 2:
Practice Address - City:LYNNWOOD
Practice Address - State:WA
Practice Address - Zip Code:98087-1220
Practice Address - Country:US
Practice Address - Phone:425-829-2287
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-05
Last Update Date:2015-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAIR 60225986390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training ProgramGroup - Single Specialty