Provider Demographics
NPI:1154618015
Name:VIER, KEIKO H (RPH)
Entity type:Individual
Prefix:
First Name:KEIKO
Middle Name:H
Last Name:VIER
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5219 S 320TH ST
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:WA
Mailing Address - Zip Code:98001-3874
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3320 S 23RD ST
Practice Address - Street 2:T0341
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98405-1603
Practice Address - Country:US
Practice Address - Phone:253-414-0303
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-29
Last Update Date:2011-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH00046436183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist