Tracy Mock, R.PH.

NPI #1922444041 in Lacey, Washington

Provider Information

NPI Number: 1922444041
Entity Type: Individual
Name: Tracy Mock, R.PH.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: R.PH.
Enumeration Date: May 15, 2013
Last Updated: Jul 21, 2014

Practice Location

Address: 1401 GALAXY DR NE
City: Lacey
State: Washington
ZIP Code: 98516-4746
Phone: (360) 456-7862

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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