Individual
JOSUAH TILUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11 S FORKS AVE, FORKS, WA 98331-9006
(360) 374-2294
(360) 374-5057
Mailing address
PO BOX B, ILWACO, WA 98624-0167
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
PH61573268
WA
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
PH61573268
WA
Other
Enumeration date
07/22/2024
Last updated
07/22/2024
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