Provider Demographics
NPI:1831413707
Name:KAE, CHRISTINA YOSHIHARA (PHARMD)
Entity type:Individual
Prefix:DR
First Name:CHRISTINA
Middle Name:YOSHIHARA
Last Name:KAE
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2800 MILTON WAY STE 10
Mailing Address - Street 2:
Mailing Address - City:MILTON
Mailing Address - State:WA
Mailing Address - Zip Code:98354-9344
Mailing Address - Country:US
Mailing Address - Phone:253-952-8436
Mailing Address - Fax:
Practice Address - Street 1:5301 ERSKINE WAY SW
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98136-1050
Practice Address - Country:US
Practice Address - Phone:206-683-8955
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-22
Last Update Date:2012-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH60091242183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist