Individual
MARK IANCU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9000 RAINIER AVE S, SEATTLE, WA 98118-5017
(206) 760-1076
Mailing address
5260 BROOKLYN AVE NE UNIT A, SEATTLE, WA 98105-3516
(425) 260-1236
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
60513029
WA
Other
Enumeration date
12/14/2015
Last updated
12/14/2015
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