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

Mr. Anderson S Jolly Jr., RPH

Individual provider Pharmacist · NPI 1245353234

Mr. Anderson S Jolly Jr., RPH is a Pharmacist in Renton, Washington. Licensed in Washington. Registered with an NPI since 2007.

Licensed in
WA
In the registry since
2007
What do these letters mean?
RPH — Registered Pharmacist
A pharmacist licensed by a state board.

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Practice location Address checks out

12923 SE 95th Way
Renton, WA 98056-2435
Phone: (253) 952-2803
Fax: (253) 952-0387
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence PH00019615 (WA)

Record details

NPI number1245353234
Entity typeIndividual (Type 1)
GenderMale
Credentials RPH
Sole proprietorNo
NPI enumeratedApril 6, 2007
Last updated in NPPESJuly 8, 2007

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