Individual
ANATOLIY AMOSOVICH DATSKIY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
5655 3RD AVE, FERNDALE, WA 98248-8394
(360) 384-1551
Mailing address
5617 POPLAR PL, FERNDALE, WA 98248-9178
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH61067390
WA
Other
Enumeration date
01/12/2021
Last updated
01/12/2021
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