Provider Demographics
NPI:1518783182
Name:TAING, SUN KIM (PHARMD)
Entity type:Individual
Prefix:
First Name:SUN
Middle Name:KIM
Last Name:TAING
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 111541
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98411-1541
Mailing Address - Country:US
Mailing Address - Phone:253-678-8214
Mailing Address - Fax:253-854-0189
Practice Address - Street 1:128 WASHINGTON AVE N
Practice Address - Street 2:
Practice Address - City:KENT
Practice Address - State:WA
Practice Address - Zip Code:98032-4400
Practice Address - Country:US
Practice Address - Phone:253-854-0045
Practice Address - Fax:253-854-0189
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-28
Last Update Date:2024-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH61568524183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist