Individual
MARVIN JAMES WALETICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
117 1ST AVE SW, CASTLE ROCK, WA 98611
(360) 274-8211
(360) 274-7825
Mailing address
PO BOX 188, CASTLE ROCK, WA 98611-0188
(360) 274-8211
(360) 274-7825
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PHRM.PH.00009701
WA
Other
Enumeration date
05/05/2022
Last updated
05/05/2022
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