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1487904959
JONATHAN DAVID PHUNG
RENTON, WA
NPI
1487904959
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: WA PH60289427)
Enumeration Date
2012-09-12
Last Update Date
2020-12-07
Business Address
Dr. JONATHAN DAVID PHUNG Pharm D
947 POWELL AVE SW STE 100B
RENTON, WA 98057-2975
Phone number: 425-277-1311
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Mailing Address
Dr. JONATHAN DAVID PHUNG Pharm D
955 POWELL AVE SW SUITE A
RENTON, WA 98057-2908
Phone number: 425-277-1311
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