Individual
CREESA OCTAVIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14510 AURORA AVE N, SHORELINE, WA 98133-6525
(206) 361-8826
Mailing address
14510 AURORA AVE N, SHORELINE, WA 98133-6525
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH61534059
WA
Other
Enumeration date
10/04/2024
Last updated
10/04/2024
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