Ivy Dang, PharmD
Pharmacist in Bonney Lake, WA. Individual provider (NPI-1).
NPI number1194199166
StatusActive
Last updated in NPPESNov 13, 2015
Details
- NPI
- 1194199166
- Entity type
- Individual (NPI-1)
- Name
- Ivy Dang
- Credential
- PharmD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 13, 2015
- Last updated
- Nov 13, 2015
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | PH60582489 | WA | Yes |
Practice location
21302 State Route 410 EBonney Lake, WA 98391-8468
Phone 253-862-2822
Mailing address
21302 State Route 410 EBonney Lake, WA 98391-8468
Phone 253-862-2822
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 33 Pharmacist providers in Bonney Lake · All 539 providers in Bonney Lake
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