Individual
KHALED FARES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
17524 AURORA AVE N, SHORELINE, WA 98133-4813
(206) 542-4964
Mailing address
21405 54TH PL W, MOUNTLAKE TERRACE, WA 98043-3023
(425) 429-8000
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH61053396
WA
Other
Enumeration date
09/02/2020
Last updated
09/02/2020
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