Individual
MR. JOHN CHARLES LEVESQUE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
JACKSON AVE., BLD 9040 RM G93-1, TACOMA, WA 98431-0001
(253) 968-1953
(253) 968-0560
Mailing address
8810 110TH ST SW, LAKEWOOD, WA 98498-4364
(253) 983-0384
(253) 968-0560
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
5064
CT
183500000X
Pharmacist
Primary
PH00059773
WA
183500000X
Pharmacist
RPH02217
RI
Other
Enumeration date
02/09/2006
Last updated
07/08/2007
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