Individual
LILY PHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
17920 SE 257TH ST, COVINGTON, WA 98042-8382
(206) 859-3102
Mailing address
17920 SE 257TH ST, COVINGTON, WA 98042-8382
(206) 859-3102
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
IR60908067
WA
Other
Enumeration date
07/29/2020
Last updated
07/29/2020
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