Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Justin R Diercks, PHARMD

Individual provider Ambulatory Care Pharmacist · NPI 1568605251

Justin R Diercks, PHARMD is an Ambulatory Care Pharmacist in Everett, Washington. Licensed in Washington. Registered with an NPI since 2009.

Licensed in
WA
In the registry since
2009
Specialties on file
2
What do these letters mean?
PHARMD — Doctor of Pharmacy
The professional degree required to practise as a pharmacist in the United States.

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Practice location Address checks out

1330 Rockefeller Ave Ste 150
Everett, WA 98201-1684
Phone: (425) 297-5220
Fax: (425) 297-5221
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence PH60227234 (WA)
Ambulatory Care Pharmacist Taxonomy 1835P2201X · Licence PH60227234 (WA)

Record details

NPI number1568605251
Entity typeIndividual (Type 1)
GenderMale
Credentials PHARMD
Sole proprietorNo
NPI enumeratedApril 11, 2009
Last updated in NPPESNovember 14, 2016

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