Stephanie My-Phuong Su

NPI #1427729920 in Lacey, Washington

Provider Information

NPI Number: 1427729920
Entity Type: Individual
Name: Stephanie My-Phuong Su
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Enumeration Date: Sep 23, 2021
Last Updated: Sep 23, 2021

Practice Location

Address: 2539 MARVIN RD NE STE E
City: Lacey
State: Washington
ZIP Code: 98516-3175
Phone: (360) 438-3072

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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