Individual
MR. BERRY DALE BAXLEY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
31515 20TH AVE S, FEDERAL WAY, WA 98003-5458
(253) 839-9322
Mailing address
3714 SW 108TH ST, SEATTLE, WA 98146-1754
(206) 241-5141
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH00020799
WA
Other
Enumeration date
01/24/2006
Last updated
07/08/2007
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