Individual
ALEXANDER M PERALTA JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
700 N. LILLY RD, OLYMPIA, WA 98506
(360) 923-7601
Mailing address
700 N. LILLY RD, OLYMPIA, WA 98506
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH00056366
WA
Other
Enumeration date
10/05/2010
Last updated
10/05/2010
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