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Individual

ASHLEY NICOLE WILSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARMD.

Contact information

Practice address
747 BROADWAY, ATTN: INPATIENT PHARMACY, SEATTLE, WA 98122-4379
(206) 215-6283
Mailing address
13725 32ND AVE NE APT C236, SEATTLE, WA 98125-4662
(206) 856-0831

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH60001545
WA

Other

Enumeration date
03/02/2010
Last updated
03/02/2010
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