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Individual

WILLIAM CODY EWING

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CPHT

Contact information

Practice address
5700 100TH ST SW, LAKEWOOD, WA 98499-2752
(253) 588-3666
(253) 588-1922
Mailing address
3215 S 47TH ST APT C59, TACOMA, WA 98409-5510
(541) 813-9184

Taxonomy

Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
CPT-0011393
OR
183700000X
Pharmacy Technician
Primary
VA60994950
WA

Other

Enumeration date
11/07/2022
Last updated
11/07/2022
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