NPI 1275834939

Jack Lynn Ott, RPH

Practitioner Pharmacist Shelton, WA

Practice location

Address: 600 W Franklin St, Shelton, WA 98584-3519
Phone: (360) 426-0718
Fax: (360) 426-2497

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence PH00010648 (WA)

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Registry record

NPI: 1275834939
Entity type: Individual
Sex (as registered): Male
NPI issued: 11 Nov 2010
Record last updated: 11 Nov 2010

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.