Individual
DANIELSON GARCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
404 STATE AVE, MARYSVILLE, WA 98270-5030
(360) 658-5375
Mailing address
2212 40TH ST, BELLINGHAM, WA 98229-3381
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
18823-40
WI
183500000X
Pharmacist
Primary
PH60750148
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18823-40
ACTIVE PHARMACIST LICENSE
WI
01
—
PH60750148
ACTIVE PHARMACIST LICENSE
WA
Enumeration date
07/26/2017
Last updated
07/26/2017
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