Individual
LISA THAO NGUYEN PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
15585 NE 24TH ST, BELLEVUE, WA 98007-3836
(425) 643-8281
Mailing address
15585 NE 24TH ST, BELLEVUE, WA 98007-3836
(425) 643-8281
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
61092108
WA
Other
Enumeration date
12/28/2020
Last updated
12/28/2020
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