Individual
MR. CHANG H BAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
9601 MARKET PL, LAKE STEVENS, WA 98258-7949
(425) 397-8944
Mailing address
15015 77TH AVE SE, SNOHOMISH, WA 98296-8439
(360) 668-5350
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH00058572
WA
Other
Enumeration date
12/08/2011
Last updated
12/08/2011
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