Jack J Cordova
NPI #1932240892 in Seattle, Washington
Provider Information
- NPI Number
- 1932240892
- Entity Type
- Organization
- Organization Name
- Jack J Cordova
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Feb 12, 2007
- Last Updated
- Mar 9, 2009
Practice Location
- Address
- 6111 13TH AVE S
- City
- Seattle
- State
- Washington
- ZIP Code
- 98108-2705
- Phone
- (206) 763-0288
Authorized Official
- Name
- JACK CORDOVA
- Title
- OWNER
- Phone
- (206) 763-0288
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy |
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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