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Individual

MR. MAURICIO L AUSTIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
13719 SE MILL PLAIN BLVD, SAFEWAY PHARMACY #1519, VANCOUVER, WA 98684-6945
(360) 459-1942
(360) 891-4258
Mailing address
PO BOX 3063, LACEY, WA 98509
(360) 459-1942
(360) 891-4258

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH22070
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4924812
NABP
WA
05
6016547
WA
01
PH22070
WA LICENSE
WA
Enumeration date
07/25/2012
Last updated
04/19/2023
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