Individual
JOHN A HUMPHREYS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D., BCPS
Contact information
Practice address
1121 185TH PL SE, BOTHELL, WA 98012-5236
(425) 563-8676
Mailing address
1121 185TH PL SE, BOTHELL, WA 98012-5236
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
PH00039712
WA
1835P1200X
Pharmacotherapy Pharmacist
Primary
PH00039712
WA
Other
Enumeration date
02/01/2007
Last updated
07/11/2014
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