Individual
BRIAN SO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
19107 BOTHELL WAY NE, BOTHELL, WA 98011-2938
(425) 489-1814
(425) 489-9434
Mailing address
19107 BOTHELL WAY NE, BOTHELL, WA 98011-2938
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH00042412
WA
Other
Enumeration date
07/03/2010
Last updated
07/03/2010
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