Baxley, Berry Dale

Baxley, Berry Dale is an individual health care provider with primary practice located at 31515 20Th Ave S , Federal Way WA 98003-5458. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Baxley, Berry Dale can be contacted via phone (253) 839-9322.

Contact Information

Primary practice address
31515 20Th Ave S Federal Way WA 98003-5458
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X PH00020799 Washington

Profile Details

NPI number 1891765772
LBN Legal business name Baxley, Berry Dale
Credentials RPH
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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