Vander Weide, Luke Aaron

Vander Weide, Luke Aaron is an individual health care provider with primary practice located at 16811 Se Mcgillivray Blvd #101, Vancouver WA 98683-3404. He recently has 2 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacist, Pharmacy Service Providers / Ambulatory Care. Pharmacy Service Providers / Ambulatory Care is his primary health care specialty. Vander Weide, Luke Aaron can be contacted via phone (360) 750-3206.

Contact Information

Primary practice address
16811 Se Mcgillivray Blvd #101 Vancouver WA 98683-3404
Phone: (360) 750-3206
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 03234108 Ohio
Pharmacy Service Providers / Ambulatory Care 1835P2201X PH60561814 Washington

Profile Details

NPI number 1568857134
LBN Legal business name Vander Weide, Luke Aaron
Credentials PHARM.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 1st, 2015
Last updated Nov 2nd, 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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