Individual
LAI PHUC PHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
16251 SYLVESTER RD SW, BURIEN, WA 98166-3017
(206) 244-9970
Mailing address
13804 29TH AVE S, SEATAC, WA 98168-3852
(206) 619-6848
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH60393203
WA
Other
Enumeration date
09/26/2013
Last updated
09/26/2013
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