Individual
DR. KEN LUONG PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
412 E COLLEGE WAY, MOUNT VERNON, WA 98273-5516
(360) 424-7958
Mailing address
516 N 1ST ST, MOUNT VERNON, WA 98273-2811
(972) 762-4115
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
62183
TX
183500000X
Pharmacist
Primary
PH60844394
WA
Other
Enumeration date
05/25/2021
Last updated
07/15/2021
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