Individual
SOPHALLY CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
725 E 90TH ST, TACOMA, WA 98445-1913
(253) 571-8424
Mailing address
725 E 90TH ST, TACOMA, WA 98445-1913
(253) 571-8424
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
—
—
Other
Enumeration date
02/05/2018
Last updated
02/05/2018
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