Individual
DR. JUSTIN JORDAN SISNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1200 SEEMAN ST, DARRINGTON, WA 98241-9103
(360) 436-1200
Mailing address
PO BOX 518, DARRINGTON, WA 98241-0518
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
12240
MT
183500000X
Pharmacist
Primary
PH60340700
WA
183500000X
Pharmacist
S019200
AZ
Other
Enumeration date
04/29/2013
Last updated
04/29/2013
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