Individual
MR. KERMIT SHEKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
520 HEMLOCK WAY, EDMONDS, WA 98020-4000
(425) 245-8681
Mailing address
PO BOX 624, EDMONDS, WA 98020-0624
(425) 245-8681
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH00007872
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13295
PHARMACIST
IA
01
—
303836
IOWA
—
01
—
PH00007872
PHARMACIST
WA
Enumeration date
01/10/2018
Last updated
01/10/2018
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