Individual
JEFFREY GEBENUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
802 3RD AVE, SEATTLE, WA 98104-1602
(206) 623-1190
(206) 292-3957
Mailing address
2721 1ST AVE, UNIT 905, SEATTLE, WA 98121-1143
(206) 915-8079
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH00042289
WA
Other
Enumeration date
03/14/2007
Last updated
07/08/2007
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