Individual
MR. DAVID JACK WELLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMACIST
Contact information
Practice address
11700 MUKILTEO SPEEDWAY, MUKILTEO, WA 98275-5432
(425) 514-0620
(425) 348-3041
Mailing address
11700 MUKILTEO SPEEDWAY, MUKILTEO, WA 98275-5432
(425) 514-0620
(425) 348-3041
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH 00009143
WA
Other
Enumeration date
06/17/2010
Last updated
06/17/2010
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