Individual
KHANHLINH PHAN HOANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
25316 74TH AVE S, KENT, WA 98032-6022
(800) 562-8386
Mailing address
25316 74TH AVE S, KENT, WA 98032-6022
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH61451167
WA
183700000X
Pharmacy Technician
—
WA
Other
Enumeration date
06/07/2021
Last updated
10/12/2023
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