Individual
JASON C MYKLEGARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
8224 STEILACOOM BLVD SW, LAKEWOOD, WA 98498-6157
(253) 581-0494
(253) 581-0997
Mailing address
8224 STEILACOOM BLVD SW, LAKEWOOD, WA 98498-6157
(253) 581-0494
(253) 581-0997
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH00017940
WA
Other
Enumeration date
02/03/2010
Last updated
02/03/2010
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