Individual
DARICK GONGQING CHAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11012 CANYON RD E, PUYALLUP, WA 98373-4200
(253) 537-1517
Mailing address
11012 CANYON RD E, PUYALLUP, WA 98373-4200
(253) 537-1517
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH61311921
WA
Other
Enumeration date
07/11/2022
Last updated
07/11/2022
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