Individual
JAYA GEORGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
17404 MERIDIAN E, PUYALLUP, WA 98375-6234
(253) 445-7873
Mailing address
17404 MERIDIAN E, PUYALLUP, WA 98375-6234
(360) 872-0592
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH60013236
WA
Other
Enumeration date
02/21/2012
Last updated
02/21/2012
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