Individual
KEVIN SU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
3020 NE 45TH ST, SEATTLE, WA 98105-5002
(206) 524-9931
Mailing address
3020 NE 45TH ST, SEATTLE, WA 98105-5002
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH60218785
WA
Other
Enumeration date
07/12/2011
Last updated
07/12/2011
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