Phil Mace, PHARMD

NPI #1124375506 in Longview, Washington

Provider Information

NPI Number: 1124375506
Entity Type: Individual
Name: Phil Mace, PHARMD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Credential: PHARMD
Enumeration Date: Aug 5, 2012
Last Updated: Aug 5, 2012

Practice Location

Address: 3184 OCEAN BEACH HWY
City: Longview
State: Washington
ZIP Code: 98632-4378
Phone: (360) 425-6222

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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