Individual
MATTHEW TALAVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
117 SW 160TH ST, BURIEN, WA 98166-3024
(808) 258-1693
Mailing address
117 SW 160TH ST, BURIEN, WA 98166-3024
(808) 258-1693
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH60667958
WA
Other
Enumeration date
08/25/2016
Last updated
08/25/2016
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