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1932511185
THEODORE PERILLO
TACOMA, WA
NPI
1932511185
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: WA PH60327482)
Enumeration Date
2014-05-22
Last Update Date
2024-12-05
Business Address
THEODORE PERILLO R.Ph.
821 S 38TH ST
TACOMA, WA 98418-5089
Phone number: 217-512-1917
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Mailing Address
THEODORE PERILLO R.Ph.
6212 212TH DR SE
SNOHOMISH, WA 98290-3253
Phone number: 217-512-1917
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