Individual
IVY DANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
21302 STATE ROUTE 410 E, BONNEY LAKE, WA 98391-8468
(253) 862-2822
Mailing address
21302 STATE ROUTE 410 E, BONNEY LAKE, WA 98391-8468
(253) 862-2822
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH60582489
WA
Other
Enumeration date
11/13/2015
Last updated
11/13/2015
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