JORDAN LEE ERICKSON

MOUNT VERNON, WA
NPI1780296509
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: WA  PH61066697)
Enumeration Date2020-08-21
Last Update Date2020-08-21
Business Address
JORDAN LEE ERICKSON Pharmacist
2109 E BROADWAY
MOUNT VERNON, WA 98274-4628
Phone number: 360-395-8682
Mailing Address
JORDAN LEE ERICKSON Pharmacist
2109 E BROADWAY
MOUNT VERNON, WA 98274-4628
Phone number: 360-395-8682
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