Individual
ABDUL KHALEEL QAYOUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD.
Contact information
Practice address
413 LILLY RD NE # LL-H10, OLYMPIA, WA 98506-5133
(360) 493-7412
(360) 493-5403
Mailing address
413 LILLY RD NE # LL-H10, OLYMPIA, WA 98506-5133
(360) 493-7412
(360) 493-5403
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH00067111
WA
Other
Enumeration date
06/25/2011
Last updated
08/10/2020
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