Individual
MARIO AYALA SALCEDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
690 GAGE BLVD, PHARMACY DEPARTMENT, RICHLAND, WA 99352
(509) 627-5133
Mailing address
250 GAGE BLVD APT 4047, RICHLAND, WA 99352-8657
(209) 271-8990
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH61169046
WA
Other
Enumeration date
09/08/2021
Last updated
09/08/2021
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