Individual
FONG KIT TAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
12040 NE 128TH ST, KIRKLAND, WA 98034-3013
(425) 899-2761
Mailing address
12040 NE 128TH ST, KIRKLAND, WA 98034-3013
(425) 899-2761
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH61173522
WA
Other
Enumeration date
09/03/2021
Last updated
11/20/2025
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