Individual
MATTHEW BOSTWICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5520 N DIVISION ST, SPOKANE, WA 99208-1211
(509) 489-6010
Mailing address
3210 E 44TH AVE APT G304, SPOKANE, WA 99223-7756
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
IR60246805
WA
Other
Enumeration date
10/30/2014
Last updated
10/30/2014
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