Individual
KANCHAN NIRGUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2401 N PEARL ST, TACOMA, WA 98406-2545
(253) 752-7919
Mailing address
31916 3RD LN SW, APT A201, FEDERAL WAY, WA 98023-4683
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH60046477
WA
Other
Enumeration date
08/02/2012
Last updated
08/02/2012
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