Individual
DONALD ALLAN CORLISS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
12400 E MARGINAL WAY S, TUKWILA, WA 98168-2559
(206) 901-4411
(206) 901-4617
Mailing address
1108 E BOSTON ST, SEATTLE, WA 98102-4128
(206) 329-5996
(206) 901-4617
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH00009222
WA
Other
Enumeration date
02/07/2007
Last updated
07/08/2007
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