Individual
ANATOLE V PAVELKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.PH
Contact information
Practice address
930 MICHAEL WAY, CAMANO ISLAND, WA 98282-6521
(360) 547-6780
Mailing address
930 MICHAEL WAY, CAMANO ISLAND, WA 98282-6521
(360) 547-6780
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
05987
NV
183500000X
Pharmacist
27498
CA
183500000X
Pharmacist
Primary
PH 00058683
WA
183500000X
Pharmacist
PS6537
FL
Other
Enumeration date
12/17/2012
Last updated
12/17/2012
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