Individual
JORDAN LO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
822 20TH AVE, SEATTLE, WA 98122-4734
(206) 890-0150
Mailing address
12034 15TH AVE NE UNIT 309, SEATTLE, WA 98125-5099
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH60777485
WA
Other
Enumeration date
01/10/2018
Last updated
01/10/2018
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