Marvin James Waletich, RPH

NPI #1376289116 in Castle Rock, Washington

Provider Information

NPI Number: 1376289116
Entity Type: Individual
Name: Marvin James Waletich, RPH
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: RPH
Enumeration Date: May 5, 2022
Last Updated: May 5, 2022

Practice Location

Address: 117 1ST AVE SW
City: Castle Rock
State: Washington
ZIP Code: 98611
Phone: (360) 274-8211

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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