Individual
DR. JONATHAN CARROLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
755 NW GILMAN BLVD, ISSAQUAH, WA 98027-5357
(425) 507-1020
Mailing address
225 S 51ST ST, UNIT C, RENTON, WA 98055-7941
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH60572051
WA
Other
Enumeration date
07/02/2015
Last updated
07/02/2015
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