Individual
JOHNNY PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
519 N 56TH PL, RIDGEFIELD, WA 98642-3500
(360) 727-8411
Mailing address
519 N 56TH PL, RIDGEFIELD, WA 98642-3500
(360) 727-8411
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH70015273
WA
Other
Enumeration date
10/24/2025
Last updated
10/24/2025
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