Individual
JIMMY PATACSIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
1660 S COLUMBIAN WAY, SEATTLE, WA 98108-1532
(206) 764-2383
(206) 764-2577
Mailing address
265 EDMONDS AVE SE, RENTON, WA 98056-8847
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH00016830
WA
Other
Enumeration date
10/02/2006
Last updated
07/08/2007
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