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PONCIANO F BAUTISTA

Individual Provider (NPI-1) Active

Pharmacist

Provider Information

NPI Number
1144859638
Provider Type
Individual Provider (NPI-1)
Status
Active

Contact & Location

Address
4002 49TH AVE S, SEATTLE, WA, 981181228
Phone
(206) 834-5647

Specialties & Taxonomies

Pharmacy, Clinic Pharmacy License: WA #PH00017744
Pharmacy, Community/Retail Pharmacy License: WA #PH00017744
Pharmacy, Compounding Pharmacy License: WA #PH00017744
Pharmacy, Home Infusion Therapy Pharmacy License: WA #PH00017744
Pharmacy, Institutional Pharmacy License: WA #PH00017744
Pharmacy, Long Term Care Pharmacy License: WA #PH00017744
Pharmacy, Mail Order Pharmacy License: WA #PH00017744
Pharmacist Primary License: WA #PH00017744

All Addresses

MAILING

4002 49TH AVE S

SEATTLE, WA, 981181228

(206) 834-5647

LOCATION

4002 49TH AVE S

SEATTLE, WA, 981181228

(206) 834-5647