Individual
CHANGHONG PENG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
17524 AURORA AVE N, SHORELINE, WA 98133-4813
(206) 542-4964
Mailing address
17524 AURORA AVE N, SHORELINE, WA 98133-4813
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH 60086005
WA
Other
Enumeration date
12/29/2009
Last updated
12/29/2009
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