Individual
DR. MARK ANDREW JACOB IBARRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
315 MARTIN LUTHER KING JR WAY, TACOMA, WA 98405-4234
(253) 403-2408
Mailing address
315-C2-RX, 315 MARTIN LUTHER KING JR WAY, TACOMA, WA 98405
(253) 403-2408
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH60961252
WA
Other
Enumeration date
12/20/2019
Last updated
12/20/2019
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