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Individual

LONG G PHAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARMACIST

Contact information

Practice address
2800 NE 162ND AVE, VANCOUVER, WA 98682-8504
(360) 253-5613
(360) 253-5622
Mailing address
2800 NE 162ND AVE, VANCOUVER, WA 98682-8504
(360) 253-5613
(360) 253-5622

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
00022373
WA

Other

Enumeration date
05/17/2011
Last updated
05/17/2011
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