Individual
MAX PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1200 HARRISON AVE, CENTRALIA, WA 98531-1853
(360) 807-2014
Mailing address
500 EUBANK BLVD SE, ALBUQUERQUE, NM 87123-3338
(619) 820-7156
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH61182338
WA
183500000X
Pharmacist
RP00009670
NM
Other
Enumeration date
01/14/2022
Last updated
08/08/2025
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