Individual
JUSTIN MIKITAROFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
200 S. 3RD ST, RENTON, WA 98057
(425) 255-4151
Mailing address
4721 38TH AVE SW APT 406, SEATTLE, WA 98126
(734) 780-5629
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
IR61441001
WA
Other
Enumeration date
06/26/2023
Last updated
06/26/2023
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