Individual
KEVIN SANG PHUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
3101 WESTERN AVE STE 100, SEATTLE, WA 98121-3017
(800) 523-3080
Mailing address
3101 WESTERN AVE STE 100, SEATTLE, WA 98121-3017
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-0014412
OR
Other
Enumeration date
08/22/2016
Last updated
12/31/2016
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