Individual
MATTHEW M SHIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
401 15TH AVE SE, PUYALLUP, WA 98372-3715
(253) 697-1885
Mailing address
1311 E CENTRAL DR, MERIDIAN, ID 83642-7991
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
P10870
ID
183500000X
Pharmacist
Primary
PH61458624
WA
Other
Enumeration date
06/17/2024
Last updated
06/17/2024
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