Dr. Timothy Shan, PharmD
Pharmacist in Seattle, WA. Individual provider (NPI-1).
NPI number1982201968
StatusActive
Last updated in NPPESSep 16, 2021
Details
- NPI
- 1982201968
- Entity type
- Individual (NPI-1)
- Name
- Dr. Timothy Shan
- Credential
- PharmD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Oct 3, 2020
- Certification date
- Aug 30, 2021
- Last updated
- Sep 16, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | PH61070830 | WA | Yes |
Practice location
1959 Ne Pacific StSeattle, WA 98195-0001
Phone 209-598-3300
Mailing address
4805 Ne Glisan StPortland, OR 97213-2933
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