Individual
MATTHEW FREWALDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9502 176TH ST E, PUYALLUP, WA 98375-9300
(253) 846-5386
Mailing address
9502 176TH ST E, PUYALLUP, WA 98375-9300
(253) 846-5386
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH61183812
WA
Other
Enumeration date
09/14/2021
Last updated
09/14/2021
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