Individual
DR. MATTHEW THOMAS HALEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
107 BELLEVUE WAY, SE, BELLEVUE, WA 98004
(425) 454-1818
Mailing address
107 BELLEVUE WAY, SE, BELLEVUE, WA 98004
(425) 454-1818
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH60598321
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PH60598321
PHARMACIST LICENSE
WA
Enumeration date
10/20/2016
Last updated
10/20/2016
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