Individual
JASON MALLARI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11301 SE 10TH ST APT 161, VANCOUVER, WA 98664-6129
(503) 473-3130
Mailing address
11301 SE 10TH ST APT 161, VANCOUVER, WA 98664-6129
(503) 473-3130
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH60389150
WA
Other
Enumeration date
11/26/2013
Last updated
11/26/2013
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