Provider Demographics
NPI:1942792676
Name:GUFFEY, JOHN K (RPH)
Entity Type:Individual
Prefix:MR
First Name:JOHN
Middle Name:K
Last Name:GUFFEY
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 1:2432 NW 29TH AVE
Mailing Address - Street 2:
Mailing Address - City:CAMAS
Mailing Address - State:WA
Mailing Address - Zip Code:98607-7338
Mailing Address - Country:US
Mailing Address - Phone:360-834-0872
Mailing Address - Fax:
Practice Address - Street 1:12607 SE MILL PAIN BLVD
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98684-4098
Practice Address - Country:US
Practice Address - Phone:360-891-6214
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-05-30
Last Update Date:2018-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH000454881835P2201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P2201XPharmacy Service ProvidersPharmacistAmbulatory Care