Provider Demographics
NPI:1124459839
Name:LEUNG, HELEN (PHARMD)
Entity type:Individual
Prefix:
First Name:HELEN
Middle Name:
Last Name:LEUNG
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 1:8230 MARTIN WAY E
Mailing Address - Street 2:
Mailing Address - City:LACEY
Mailing Address - State:WA
Mailing Address - Zip Code:98516-5726
Mailing Address - Country:US
Mailing Address - Phone:360-456-0444
Mailing Address - Fax:
Practice Address - Street 1:8230 MARTIN WAY E
Practice Address - Street 2:
Practice Address - City:LACEY
Practice Address - State:WA
Practice Address - Zip Code:98516-5726
Practice Address - Country:US
Practice Address - Phone:360-456-0444
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-12-05
Last Update Date:2015-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH60410069183500000X, 183500000X
FLPS50673183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist