Individual
MATTHEW GENTRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8500 35TH AVE NE, SEATTLE, WA 98115-3606
(206) 527-8373
Mailing address
530 BROADWAY E APT 139, SEATTLE, WA 98102-5123
(336) 391-1839
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH61122213
WA
Other
Enumeration date
06/17/2024
Last updated
06/17/2024
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