Individual
INNA BILA TAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
11224 NE 124TH ST, KIRKLAND, WA 98034-4301
(425) 820-0440
Mailing address
16038 NE 26TH ST, BELLEVUE, WA 98008-2203
(425) 283-3250
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH60230680
WA
Other
Enumeration date
06/06/2012
Last updated
06/06/2012
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