Individual
RUGER STUFFLEBEAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
339 FERRY ST, SEDRO WOOLLEY, WA 98284-1412
(360) 853-2003
Mailing address
423 75TH ST SE UNIT B28, EVERETT, WA 98203-5565
(360) 630-9446
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
PH61450836
WA
Other
Enumeration date
08/14/2023
Last updated
08/14/2023
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