Individual
JOSEPH WAYNE FAIRES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH,BCPP
Contact information
Practice address
9601 STEILACOOM BLVD SW, ATT. PHARMACY, TACOMA, WA 98498-7213
(125) 375-6273
(125) 375-6270
Mailing address
9601 STEILACOOM BLVD SW, ATT. PHARMACY, TACOMA, WA 98498-7213
(125) 375-6273
(125) 375-6270
Taxonomy
Speciality
Code
Description
License number
State
1835P1300X
Psychiatric Pharmacist
Primary
PH00010526
WA
Other
Enumeration date
12/05/2006
Last updated
07/08/2007
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