Organization
EVERGREEN HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WAN-CHIH TOM PHARM.D. (PHARMACIST)
(425) 899-2783
Entity
Organization
Contact information
Practice address
12040 NE 128TH ST, EVERGREENHEALTH MS-31, KIRKLAND, WA 98034-3013
(425) 899-2783
(425) 899-2784
Mailing address
12040 NE 128TH ST, EVERGREENHEALTH MS-31, KIRKLAND, WA 98034-3013
(425) 899-2783
(425) 899-2784
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
02/03/2015
Last updated
02/03/2015
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