Provider Demographics
NPI:1699750992
Name:KANDA, EUGENE AKIRA (RPH)
Entity type:Individual
Prefix:MR
First Name:EUGENE
Middle Name:AKIRA
Last Name:KANDA
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22627 NE 142ND PL
Mailing Address - Street 2:
Mailing Address - City:WOODINVILLE
Mailing Address - State:WA
Mailing Address - Zip Code:98077-5113
Mailing Address - Country:US
Mailing Address - Phone:425-556-4123
Mailing Address - Fax:
Practice Address - Street 1:22627 NE 142ND PL
Practice Address - Street 2:
Practice Address - City:WOODINVILLE
Practice Address - State:WA
Practice Address - Zip Code:98077-5113
Practice Address - Country:US
Practice Address - Phone:425-556-4123
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-12-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH00009469183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist