Individual
JOHN RACKHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
500 S PIONEER WAY, MOSES LAKE, WA 98837-1812
(509) 765-1219
Mailing address
1544 S BAILEY AVE, MOSES LAKE, WA 98837-2146
(509) 855-6161
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH60091763
WA
Other
Enumeration date
09/25/2009
Last updated
09/25/2009
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