ANTONIO MARCUS ANDERSON

TACOMA, WA
NPI1174787949
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: WA  PH00014860)
Enumeration Date2008-07-11
Last Update Date2008-07-11
Business Address
Mr. ANTONIO MARCUS ANDERSON
5514 24TH AVE NE
TACOMA, WA 98422
Phone number: 253-952-6335
Mailing Address
Mr. ANTONIO MARCUS ANDERSON
5514 24TH AVE NE
TACOMA, WA 98422-1565
Phone number: 253-952-6335
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