ANDERSON S JOLLY

RENTON, WA
NPI1245353234
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: WA  PH00019615)
Enumeration Date2007-04-06
Last Update Date2007-07-08
Business Address
Mr. ANDERSON S JOLLY Rph
12923 SE 95TH WAY
RENTON, WA 98056-2435
Phone number: 253-952-2803
Mailing Address
Mr. ANDERSON S JOLLY Rph
12923 SE 95TH WAY
RENTON, WA 98056-2435
Phone number: 253-952-2803
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