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1922646934
MARK ANDREW JACOB IBARRA
TACOMA, WA
NPI
1922646934
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: WA PH60961252)
Enumeration Date
2019-12-20
Last Update Date
2019-12-20
Business Address
Dr. MARK ANDREW JACOB IBARRA PharmD
315 MARTIN LUTHER KING JR WAY
TACOMA, WA 98405-4234
Phone number: 253-403-2408
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Mailing Address
Dr. MARK ANDREW JACOB IBARRA PharmD
315-C2-RX, 315 MARTIN LUTHER KING JR WAY
TACOMA, WA 98405
Phone number: 253-403-2408
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