Provider Demographics
NPI:1578542635
Name:MORROW, RAYMOND JASPER (RPH)
Entity Type:Individual
Prefix:MR
First Name:RAYMOND
Middle Name:JASPER
Last Name:MORROW
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12725 SE 167TH ST
Mailing Address - Street 2:
Mailing Address - City:RENTON
Mailing Address - State:WA
Mailing Address - Zip Code:98058-5541
Mailing Address - Country:US
Mailing Address - Phone:425-271-7481
Mailing Address - Fax:206-431-0470
Practice Address - Street 1:14277 PACIFIC HWY S
Practice Address - Street 2:
Practice Address - City:TUKWILA
Practice Address - State:WA
Practice Address - Zip Code:98168-4124
Practice Address - Country:US
Practice Address - Phone:206-431-9652
Practice Address - Fax:206-431-0470
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-16
Last Update Date:2011-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH00011203183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist