Individual
JOHN DEFFENBAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
413 LILLY RD NE, OLYMPIA, WA 98506-5133
(360) 726-2108
Mailing address
413 LILLY RD NE, OLYMPIA, WA 98506-5133
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
60751071
WA
Other
Enumeration date
08/30/2017
Last updated
01/07/2025
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