Individual
BO-MI AN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
35100 ENCHANTED PKWY S, FEDERAL WAY, WA 98003-8314
(253) 874-4431
Mailing address
11170 NE 10TH ST APT 1105, BELLEVUE, WA 98004-4082
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH61200622
WA
Other
Enumeration date
11/03/2021
Last updated
11/03/2021
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