Individual
JOSHUA MATLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
210 SPRING ST, FRIDAY HARBOR, WA 98250-7254
(360) 378-4421
(360) 378-6140
Mailing address
PO BOX 516, FRIDAY HARBOR, WA 98250-0516
(360) 378-4421
(360) 378-6140
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
17540
OK
183500000X
Pharmacist
Primary
PH60828440
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17540
PHARMACIST LICENSE
OK
01
—
PH60828440
PHARMACIST LICENSE
WA
Enumeration date
06/04/2018
Last updated
06/04/2018
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