Individual
KELLY ANN WU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
364 TRIANGLE SHOPPING CTR, LONGVIEW, WA 98632-4651
(360) 423-4833
Mailing address
364 TRIANGLE SHOPPING CTR, LONGVIEW, WA 98632-4651
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH60877458
WA
Other
Enumeration date
09/30/2018
Last updated
09/30/2018
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