Individual
KEVIN NG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
17100 WA 507 SE, YELM, WA 98597
(360) 400-8050
Mailing address
17100 WA 507 SE, YELM, WA 98597
(360) 400-8050
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
PH233733
MA
183500000X
Pharmacist
Primary
PH61087786
WA
Other
Enumeration date
06/29/2021
Last updated
06/29/2021
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