Individual
JARED KAVANAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
2425 S 200TH ST, SEATAC, WA 98198-5202
(206) 870-5737
Mailing address
2425 S 200TH ST, SEATAC, WA 98198-5202
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
123145
AK
Other
Enumeration date
07/28/2021
Last updated
07/28/2021
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