Individual
MAITONG CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
3625 148TH ST SW STE B, LYNNWOOD, WA 98087-5577
(425) 742-1444
Mailing address
1214 175TH ST SW, LYNNWOOD, WA 98037-8249
(425) 599-7704
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH60667762
WA
Other
Enumeration date
07/07/2017
Last updated
07/07/2017
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