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Individual

MR. JAMES MATTHEW RICHARD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
6617 S 193RD PL, KENT, WA 98032-2197
(800) 282-6191
Mailing address
7102 N 9TH ST, TACOMA, WA 98406-1318
(253) 564-8623

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH00016778
WA

Other

Enumeration date
04/06/2007
Last updated
07/08/2007
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