Individual
MS. KELLY PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
3099 BETHEL RD SE, PORT ORCHARD, WA 98366-2432
(360) 876-3924
Mailing address
2529 CLIFFSIDE LN NW, APT # H204, GIG HARBOR, WA 98335-1686
(714) 254-5208
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
19262
CO
183500000X
Pharmacist
Primary
PH60233462
WA
Other
Enumeration date
10/12/2011
Last updated
10/12/2011
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