Individual
GRANT MARSHALL CLEVELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
300 BELLEVUE WAY NE, SAFEWAY PHARMACY #1600, BELLEVUE, WA 98004-5718
(425) 749-3889
Mailing address
300 BELLEVUE WAY NE, SAFEWAY PHARMACY #1600, BELLEVUE, WA 98004-5718
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH60160113
WA
Other
Enumeration date
11/09/2010
Last updated
11/09/2010
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