Individual
JERRY MATTHEW MAPES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
101 WEST 8TH AVE, SPOKANE, WA 99220-2555
(509) 474-4503
Mailing address
4116 S GREYSTONE LN, SPOKANE, WA 99223-6166
(509) 474-4503
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH00017609
WA
Other
Enumeration date
12/11/2006
Last updated
07/08/2007
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