Individual
JACK WHORLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9120 N DIVISION ST, SPOKANE, WA 99218-1202
(509) 464-4480
Mailing address
15714 N EDENCREST DR, SPOKANE, WA 99208-8795
(509) 466-6723
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH 00018490
WA
Other
Enumeration date
05/19/2011
Last updated
05/19/2011
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