Individual
AI THI PHAN-TANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMACIST
Contact information
Practice address
3011 NE SUNSET BLVD, RENTON, WA 98056-3101
(425) 207-0053
(425) 207-0056
Mailing address
3011 NE SUNSET BLVD, RENTON, WA 98056-3101
(425) 207-0053
(425) 207-0056
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH00048806
WA
Other
Enumeration date
01/11/2011
Last updated
01/11/2011
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