Provider Demographics
NPI:1528332061
Name:LUO, MAY S (RPH)
Entity type:Individual
Prefix:
First Name:MAY
Middle Name:S
Last Name:LUO
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:MAY
Other - Middle Name:
Other - Last Name:CHAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RPH
Mailing Address - Street 1:611 MAYNARD AVE S
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98104-2920
Mailing Address - Country:US
Mailing Address - Phone:206-621-8883
Mailing Address - Fax:206-621-9328
Practice Address - Street 1:611 MAYNARD AVE S
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98104-2920
Practice Address - Country:US
Practice Address - Phone:206-621-8883
Practice Address - Fax:206-621-9328
Is Sole Proprietor?:No
Enumeration Date:2012-03-01
Last Update Date:2012-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH 00022135183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist