Berry Dale Baxley, RPH
Pharmacist in Federal Way, WA. Individual provider (NPI-1).
NPI number1891765772
StatusActive
Last updated in NPPESJul 13, 2026
Details
- NPI
- 1891765772
- Entity type
- Individual (NPI-1)
- Name
- Mr. Berry Dale Baxley
- Credential
- RPH
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 24, 2006
- Last updated
- Jul 13, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | PH00020799 | WA | Yes |
Practice location
31515 20th Ave SFederal Way, WA 98003-5458
Phone 253-839-9322
Mailing address
3714 Sw 108th StSeattle, WA 98146-1754
Phone 206-241-5141
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