Individual
JASON KWOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
144 SW 20TH ST, PENDLETON, OR 97801-1804
(917) 749-3596
Mailing address
7701 W 4TH AVE, APT K204, KENNEWICK, WA 99336-8535
(917) 749-3596
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
PH60469795
WA
183500000X
Pharmacist
Primary
RPH-0014615
OR
Other
Enumeration date
11/12/2014
Last updated
05/22/2015
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