Individual
KYLE RICHARD FOWLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3625 148TH ST SW, LYNNWOOD, WA 98087-5577
(425) 742-1120
Mailing address
3625 148TH ST SW, LYNNWOOD, WA 98087-5577
(425) 742-1120
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH60280725
WA
Other
Enumeration date
06/28/2012
Last updated
06/28/2012
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