Individual
MR. JOHN JAKSHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3919 N MARKET ST, SPOKANE, WA 99207-5813
(509) 482-3480
(509) 482-0535
Mailing address
6237 MORIAH DR, NINE MILE FALLS, WA 99026-8311
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH00054186
WA
Other
Enumeration date
11/08/2010
Last updated
11/08/2010
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