Individual
MR. GERALD DANIEL TO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
12501 E MARGINAL WAY S, TUKWILA, WA 98168-2560
(425) 290-2435
Mailing address
15504 105TH AVE NE, BOTHELL, WA 98011-4023
(425) 290-2435
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH00042474
WA
183500000X
Pharmacist
RPH-0010308
OR
Other
Enumeration date
12/12/2007
Last updated
12/12/2007
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