Individual
JUSTIN R DIERCKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1330 ROCKEFELLER AVE, SUITE 150, EVERETT, WA 98201-1684
(425) 297-5220
(425) 297-5221
Mailing address
1330 ROCKEFELLER AVE, SUITE 150, EVERETT, WA 98201-1684
(425) 297-5220
(425) 297-5221
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH60227234
WA
1835P2201X
Ambulatory Care Pharmacist
PH60227234
WA
Other
Enumeration date
04/11/2009
Last updated
11/14/2016
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