Individual
IAN ALEXANDER JACOB IBARRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1717 S J ST, TACOMA, WA 98405-4933
(253) 426-4101
Mailing address
6334 63RD ST W, UNIVERSITY PLACE, WA 98467-4945
(253) 682-8698
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH61325700
WA
Other
Enumeration date
10/10/2022
Last updated
10/10/2022
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