Individual
JASON FARMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
17719 75TH AVE E, PUYALLUP, WA 98375-3306
(253) 797-6717
Mailing address
17719 75TH AVE E, PUYALLUP, WA 98375-3306
(253) 797-6717
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH60214128
WA
Other
Enumeration date
05/04/2014
Last updated
05/04/2014
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