Jonathan Phong Pham

NPI #1356855662 in Everett, Washington

Provider Information

NPI Number: 1356855662
Entity Type: Individual
Name: Jonathan Phong Pham
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Enumeration Date: Nov 22, 2017
Last Updated: Nov 22, 2017

Practice Location

Address: 10404 27TH DR SE
City: Everett
State: Washington
ZIP Code: 98208-4465
Phone: (425) 220-5518

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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