ANTHONY RAY LIEDTKE

TACOMA, WA
NPI1528157708
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: WA  ph00011725)
Enumeration Date2006-10-12
Last Update Date2007-07-08
Business Address
-- ANTHONY RAY LIEDTKE rph
9600 VETERANS DR SW
TACOMA, WA 98493-0003
Phone number: 253-583-1177
Mailing Address
-- ANTHONY RAY LIEDTKE rph
6517 80TH ST SW
LAKEWOOD, WA 98499-2506
Phone number: 253-582-4108
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