Individual
MR. JACOB OWINGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
174 1ST AVE N, ILWACO, WA 98624-9137
(360) 642-6430
Mailing address
129 BIGHILL RD, NASELLE, WA 98638-8530
(503) 741-0959
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH60390077
WA
183500000X
Pharmacist
RPH-0013967
OR
Other
Enumeration date
04/23/2012
Last updated
06/09/2020
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