Individual
ELIZABETH A NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4025 DELRIDGE WAY SW, SEATTLE, WA 98106-1249
(206) 763-2626
Mailing address
4025 DELRIDGE WAY SW, SEATTLE, WA 98106-1249
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH60778436
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PH60778436
WA STATE PHARMACIST LICENSE
WA
Enumeration date
11/03/2017
Last updated
06/16/2018
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