Individual
KHIEM PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
500 S PIONEER WAY, MOSES LAKE, WA 98837-1812
(509) 765-1219
Mailing address
5200 238TH LN SE, ISSAQUAH, WA 98029-7670
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH60735921
WA
Other
Enumeration date
09/18/2017
Last updated
09/18/2017
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