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1841595576
AI THI PHAN-TANG
RENTON, WA
NPI
1841595576
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Former Name
AI THI TANG
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: WA PH00048806)
Enumeration Date
2011-01-11
Last Update Date
2011-01-11
Business Address
AI THI PHAN-TANG PHARMACIST
3011 NE SUNSET BLVD
RENTON, WA 98056-3101
Phone number: 425-207-0053
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Mailing Address
AI THI PHAN-TANG PHARMACIST
3011 NE SUNSET BLVD
RENTON, WA 98056-3101
Phone number: 425-207-0053
Copy
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