Individual
LE BACH THAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMACIST
Contact information
Practice address
2615 NE 112TH AVE, VANCOUVER, WA 98684-4283
(360) 449-5205
(360) 449-5208
Mailing address
2615 NE 112TH AVE, VANCOUVER, WA 98684-4283
(360) 449-5205
(360) 449-5208
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
53647
WA
Other
Enumeration date
11/02/2010
Last updated
11/02/2010
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