Provider Demographics
NPI:1285155846
Name:GOLCHIN, HENGAMEH (PHARMD)
Entity type:Individual
Prefix:
First Name:HENGAMEH
Middle Name:
Last Name:GOLCHIN
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 1:18821 SE 42ND ST
Mailing Address - Street 2:
Mailing Address - City:ISSAQUAH
Mailing Address - State:WA
Mailing Address - Zip Code:98027-9352
Mailing Address - Country:US
Mailing Address - Phone:425-999-5337
Mailing Address - Fax:
Practice Address - Street 1:18821 SE 42ND ST
Practice Address - Street 2:
Practice Address - City:ISSAQUAH
Practice Address - State:WA
Practice Address - Zip Code:98027-9352
Practice Address - Country:US
Practice Address - Phone:425-999-5337
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-07-03
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA60663030183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist