Individual
BRENDEN TY PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
7411 NE 117TH AVE, VANCOUVER, WA 98662-4706
(360) 896-3533
Mailing address
MAIL STOP: 04002/34K, 3800 SE 22ND AVE, PORTLAND, OR 97202
(503) 797-3845
(877) 302-0310
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH-61600926
WA
183500000X
Pharmacist
RPH-0020179
OR
Other
Enumeration date
07/29/2024
Last updated
09/18/2024
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