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Individual

ATLABACHEW M ADERA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
10510 GRAVELLY LAKE DR SW, LAKEWOOD, WA 98499-5036
(253) 589-7030
(253) 589-7033
Mailing address
1019 PACIFIC AVE, #300, TACOMA, WA 98402-4443
(253) 722-1540
(253) 722-1546

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH00068231
WA

Other

Enumeration date
10/29/2010
Last updated
08/01/2013
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