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Individual
TRACY SHIFLETT
Active
Individual
TRACY SHIFLETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.PH.
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
31818
TX
183500000X
Pharmacist
Primary
PH00052281
WA
1835G0303X
Geriatric Pharmacist
PH00052281
WA
Other
Enumeration date
10/07/2011
Last updated
04/15/2024
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