Individual
JONATHAN PHONG PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10404 27TH DR SE, EVERETT, WA 98208-4465
(425) 220-5518
Mailing address
10404 27TH DR SE, EVERETT, WA 98208-4465
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH60784201
WA
Other
Enumeration date
11/22/2017
Last updated
11/22/2017
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