BERRY DALE BAXLEY

FEDERAL WAY, WA
NPI1891765772
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: WA  PH00020799)
Enumeration Date2006-01-24
Last Update Date2007-07-08
Business Address
Mr. BERRY DALE BAXLEY RPH
31515 20TH AVE S
FEDERAL WAY, WA 98003-5458
Phone number: 253-839-9322
Mailing Address
Mr. BERRY DALE BAXLEY RPH
3714 SW 108TH ST
SEATTLE, WA 98146-1754
Phone number: 206-241-5141
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