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Individual

GORDON MACDONALD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
22803 44TH AVE W, MOUNTLAKE TERRACE, WA 98043-5032
(425) 771-3738
(425) 776-1190
Mailing address
22803 44TH AVE W, MOUNTLAKE TERRACE, WA 98043-5032
(425) 771-3738
(425) 776-1190

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH00010761
WA

Other

Enumeration date
09/20/2011
Last updated
09/20/2011
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