Individual
MARK DAVID ALFONSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD, BS
Contact information
Practice address
3929 KITSAP WAY, BREMERTON, WA 98312-2451
(360) 917-1041
(360) 917-1047
Mailing address
3929 KITSAP WAY, BREMERTON, WA 98312-2451
(360) 917-1041
(360) 917-1047
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH 60173831
WA
Other
Enumeration date
05/20/2011
Last updated
05/20/2011
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