Individual
JESSE WITYCZAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
101 BOLSTAD AVE E, LONG BEACH, WA 98631
(360) 642-2349
Mailing address
1433 12TH AVE, APT. 302, SEATTLE, WA 98122-3961
(208) 816-6884
Taxonomy
Speciality
Code
Description
License number
State
1835P2201X
Ambulatory Care Pharmacist
Primary
PH60465766
WA
Other
Enumeration date
03/30/2016
Last updated
03/30/2016
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