Individual
DONALD TRACY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH
Contact information
Practice address
1400 POTTERY AVE, PORT ORCHARD, WA 98366-3711
(360) 895-5500
Mailing address
1400 POTTERY AVE, PORT ORCHARD, WA 98366-3711
(360) 895-5500
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH00014288
WA
Other
Enumeration date
10/27/2010
Last updated
11/28/2018
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