Individual
DANIEL LUPAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11317 NE 9TH ST, VANCOUVER, WA 98684-4923
(503) 548-8050
Mailing address
11317 NE 9TH ST, VANCOUVER, WA 98684-4923
(503) 548-8050
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PI-0010640
OR
Other
Enumeration date
09/11/2013
Last updated
09/11/2013
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