Individual
ADAM MAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7001 BRIDGEPORT WAY W, LAKEWOOD, WA 98499-8099
(253) 512-0960
Mailing address
7001 BRIDGEPORT WAY W, LAKEWOOD, WA 98499-8099
(253) 512-0960
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH00049309
WA
Other
Enumeration date
07/28/2014
Last updated
07/28/2014
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