Individual
MR. KEVIN NGOC LY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
120 NORTH 85TH ST, SEATTLE, WA 98103-3602
(206) 784-7601
Mailing address
120 N 85TH ST, SEATTLE, WA 98103-3602
(206) 784-7601
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH00070931
WA
Other
Enumeration date
06/16/2008
Last updated
06/16/2008
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