Individual
CLAY RASMUSSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
102 E MAIN AVE, CHEWELAH, WA 99109-8960
(509) 935-8611
Mailing address
PO BOX 107, E 102 MAIN AVE, CHEWELAH, WA 99109-0107
(509) 935-8611
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH00019610
WA
Other
Enumeration date
08/17/2016
Last updated
08/17/2016
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