Individual
MR. MARK BRADLEY SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMACIST
Contact information
Practice address
12607 SE MILL PLAIN BLVD, VANCOUVER, WA 98684-6055
(360) 449-1601
(360) 896-4467
Mailing address
12607 SE MILL PLAIN BLVD, VANCOUVER, WA 98684-6055
(360) 449-1600
(360) 896-4467
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH00015616
WA
Other
Enumeration date
03/07/2018
Last updated
03/07/2018
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