Individual
MR. AUSTIN JAMES FRIEDLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
STUDENT PHARMACIST
Contact information
Practice address
11 E H ST, DEER PARK, WA 99006-7130
(509) 368-6700
Mailing address
16921 N MAYFAIR DR, COLBERT, WA 99005-9292
(509) 481-7498
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
WA
Other
Enumeration date
08/17/2020
Last updated
08/17/2020
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