Individual
KRISTINE MELISSA JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSPHARM
Contact information
Practice address
1615 DELAWARE ST, LONGVIEW, WA 98632-2367
(360) 414-2000
Mailing address
1615 DELAWARE ST, LONGVIEW, WA 98632-2367
(360) 414-2000
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH00042791
WA
Other
Enumeration date
08/09/2012
Last updated
08/09/2012
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