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Thao Phan, Pharm.D.

Pharmacist in Seattle, WA. Individual provider (NPI-1).

NPI number1972904530
StatusActive
Last updated in NPPESSep 12, 2014

Details

NPI
1972904530
Entity type
Individual (NPI-1)
Name
Thao Phan
Credential
Pharm.D.
Sex
Female
Sole proprietor
Yes
Enumeration date
Sep 12, 2014
Last updated
Sep 12, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183500000X PharmacistPH60475891WAYes

Practice location

4025 Delridge Way Sw
Seattle, WA 98106-1249

Phone 206-767-0333

Mailing address

22006 40th Pl S
Kent, WA 98032-8423

Phone 206-992-3669

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