Diercks, Justin R

Diercks, Justin R is an individual health care provider with primary practice located at 1330 Rockefeller Ave Suite 150, Everett WA 98201-1684. He recently has 2 registered licenses in different health care specialties including Pharmacy Service Providers / Ambulatory Care, Pharmacy Service Providers / Pharmacist. Pharmacy Service Providers / Pharmacist is his primary health care specialty. Diercks, Justin R can be contacted via phone (425) 297-5220.

Contact Information

Primary practice address
1330 Rockefeller Ave Suite 150 Everett WA 98201-1684
Phone: (425) 297-5220
Fax: (425) 297-5221
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Ambulatory Care 1835P2201X PH60227234 Washington
Pharmacy Service Providers / Pharmacist 183500000X PH60227234 Washington

Profile Details

NPI number 1568605251
LBN Legal business name Diercks, Justin R
Credentials PHARMD
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 11th, 2009
Last updated Nov 14th, 2016 - about 8 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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