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Individual
MICHAEL PHAN
Active
Individual
MICHAEL PHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
PH.60853789
WA
183500000X
Pharmacist
Primary
PH60853789
WA
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
PH60853789
WA
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
RPH-0021073
OR
Other
Enumeration date
05/06/2019
Last updated
06/03/2026
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