Individual
GARRETT AUSTIN NEILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
600 NW LOCUST ST # C411, ISSAQUAH, WA 98027-2751
(425) 894-3035
Mailing address
600 NW LOCUST ST # C411, ISSAQUAH, WA 98027-2751
(425) 894-3035
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
60968675
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
60968675
DEPARTMENT OF HEALTH
WA
Enumeration date
10/31/2019
Last updated
10/31/2019
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