Individual
AUSTIN SHORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6200 PACIFIC AVE SE, LACEY, WA 98503-1359
(360) 591-5540
Mailing address
214 65TH WAY SW UNIT A, TUMWATER, WA 98501-5419
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH70014304
WA
Other
Enumeration date
09/29/2025
Last updated
09/29/2025
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