Individual
AMIT TIWARI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS RPH
Contact information
Practice address
21302 STATE ROUTE 410 E, BONNEY LAKE, WA 98391-8468
(253) 862-2822
Mailing address
13107 100TH AVENUE CT E, APT # O-103, PUYALLUP, WA 98373-9431
(210) 365-4850
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH00061964
WA
Other
Enumeration date
04/10/2007
Last updated
07/08/2007
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