Individual
STACY LYNN GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPHT
Contact information
Practice address
1901 N STEPTOE ST, KENNEWICK, WA 99336-7120
(509) 783-3413
(509) 735-2802
Mailing address
1901 N STEPTOE ST, KENNEWICK, WA 99336-7120
(509) 987-4890
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
VA60316223
WA
Other
Enumeration date
05/11/2021
Last updated
06/21/2021
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