Individual
DEVIN PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10200 19TH AVE SE, EVERETT, WA 98208-4256
(425) 379-7487
Mailing address
4726 11TH AVE NE APT 511, SEATTLE, WA 98105-4681
(808) 429-0903
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
60876415
WA
390200000X
Student in an Organized Health Care Education/Training Program
60494150
WA
Other
Enumeration date
11/11/2015
Last updated
10/02/2018
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