Individual
AI DUONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
12815 14TH AVE SW, BURIEN, WA 98146-3036
(206) 466-7896
Mailing address
12815 14TH AVE SW, BURIEN, WA 98146-3036
(206) 466-7896
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
60959130
WA
Other
Enumeration date
08/17/2020
Last updated
08/17/2020
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