NPI 1043722432

Martin Asobo Kisang

Practitioner Pharmacist Gig Harbor, WA

Practice location

Address: 4818 Point Fosdick Dr NW, Gig Harbor, WA 98335-1711
Phone: (253) 851-3175
Mailing address: 102 Summit Ter APT 14, South Portland, ME 04106-2207

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence PH60791882 (WA)

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Registry record

NPI: 1043722432
Entity type: Individual
Sex (as registered): Male
NPI issued: 25 Oct 2017
Record last updated: 25 Oct 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.