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Individual

HEDAYATULLAH JALALYAR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
585 GAGE BLVD, RICHLAND, WA 99352-7761
(509) 967-5037
Mailing address
PO BOX 4218, WEST RICHLAND, WA 99353
(509) 967-5037

Taxonomy

Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
PH00021805
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1970
WA
Enumeration date
01/08/2010
Last updated
01/08/2010
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