Individual
KATHLEEN MARGARET MISHUROV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
15615 BEL RED RD STE B, BELLEVUE, WA 98008-2300
(425) 881-0222
(425) 885-1213
Mailing address
24106 185TH LOOP SE, COVINGTON, WA 98042-4897
(425) 478-1248
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH60753576
WA
Other
Enumeration date
12/01/2020
Last updated
12/01/2020
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