Individual
DR. CHARLES ALJON CORPUZ AGABIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD, RPH
Contact information
Practice address
1448 NW MARKET STREET, SUITE 100, SEATTLE, WA 98107
(206) 676-4062
Mailing address
12508 LAKE CITY WAY NE APT 203, SEATTLE, WA 98125-4436
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
60976084
WA
Other
Enumeration date
10/12/2019
Last updated
02/24/2020
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