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MARK JURGES PHARM D

>> Pharmacist >> Pharmacy Service Providers

Registrant NPI Number: 1215274725

Individual Registrant:
 MARK  JURGES PHARM D
Gender: M
Not Sole Proprietor

Location and contact information for practice:
6203 AGENCY LOOP RD  WELLPINIT, WA 99040 US
Tel: 509-258-4517  Fax: --

Contact information for business:
PO BOX 357  WELLPINIT, WA 99040-0357 US
Tel: --  Fax: --

Registration Information:
NPI: 1215274725
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y183500000XPharmacy Service Providers
Pharmacist
MI5302038213

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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