Individual
JASON SHIMATA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
19610 SE 1ST ST, CAMAS, WA 98607-7472
(360) 258-6230
(360) 258-6227
Mailing address
19610 SE 1ST ST, CAMAS, WA 98607-7472
(360) 258-6230
(360) 258-6227
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH 00061759
WA
183500000X
Pharmacist
RPH-0010531
OR
Other
Enumeration date
06/21/2011
Last updated
06/21/2011
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