Individual
DIEU-MAI PHO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMACIST
Contact information
Practice address
12421 TOTEM LAKE BLVD NE, KIRKLAND, WA 98034-7504
(425) 821-1500
Mailing address
12421 TOTEM LAKE BLVD NE, KIRKLAND, WA 98034-7504
(425) 821-1500
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH00067771
WA
Other
Enumeration date
06/14/2010
Last updated
06/14/2010
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