Healthcare Provider Details

I. General information

NPI: 1841855749
Provider Name (Legal Business Name): MICHAEL PHAN PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/06/2019
Last Update Date: 10/01/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1330 ROCKEFELLER AVE STE 150
EVERETT WA
98201-1676
US

IV. Provider business mailing address

1330 ROCKEFELLER AVE STE 150
EVERETT WA
98201-1676
US

V. Phone/Fax

Practice location:
  • Phone: 425-297-5220
  • Fax: 425-297-5221
Mailing address:
  • Phone: 425-297-5220
  • Fax: 425-297-5221

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPH60853789
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: