Individual
JUSTIN DANIEL LUTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD.
Contact information
Practice address
23003 PACIFIC HWY S, DES MOINES, WA 98198-7269
(206) 870-1832
Mailing address
23003 PACIFIC HWY S, DES MOINES, WA 98198-7269
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH00069065
WA
Other
Enumeration date
01/11/2012
Last updated
01/11/2012
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