Individual
MRS. KIM K PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
10200 19TH AVE SE, EVERETT, WA 98208-4256
(425) 379-7487
(425) 379-7489
Mailing address
10200 19TH AVE SE, EVERETT, WA 98208-4256
(425) 379-7487
(425) 379-7489
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH 00019688
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0700980018
PROVIDER ID#
WA
Enumeration date
03/24/2012
Last updated
03/07/2023
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