Individual
MATTHEW LEE GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
413 LILLY RD NE, OLYMPIA, WA 98506-5133
(360) 493-7411
Mailing address
1367 SUNRISE VISTA LN SW, TUMWATER, WA 98512-0407
(360) 477-1649
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH60007069
WA
Other
Enumeration date
04/23/2019
Last updated
04/23/2019
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