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1205045622
BRUCE JOHN HENDRICKSON
RENTON, WA
NPI
1205045622
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: WA PH00010541)
Enumeration Date
2007-05-22
Last Update Date
2007-07-08
Business Address
BRUCE JOHN HENDRICKSON RPH
400 S 43RD ST
RENTON, WA 98055-5714
Phone number: 425-251-5164
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Mailing Address
BRUCE JOHN HENDRICKSON RPH
7051 81ST AVE SE
MERCER ISLAND, WA 98040-5301
Phone number: 206-890-9819
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