Individual
LONG HA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
3532 172ND ST NE, ARLINGTON, WA 98223-8758
(360) 651-6194
Mailing address
105 N MACLEOD AVE, UNIT 1, ARLINGTON, WA 98223-1398
(626) 673-5664
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
60398135
WA
Other
Enumeration date
10/03/2013
Last updated
10/03/2013
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