Individual
JASON DEAN TALLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD.
Contact information
Practice address
5921 N MARKET ST, SPOKANE, WA 99208-2484
(509) 444-8200
Mailing address
611 N IRON BRIDGE WAY, SPOKANE, WA 99202-4932
(509) 444-8200
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0012250
OR
Other
Enumeration date
11/01/2010
Last updated
08/30/2022
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