Individual
KAYLA MIELKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
221 W HERON ST, ABERDEEN, WA 98520-6224
(360) 532-8743
Mailing address
9509 E MISSION AVE, SPOKANE VALLEY, WA 99206-4058
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH60972161
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PH60972161
PHARMACIST LICENSE
WA
Enumeration date
08/09/2019
Last updated
08/09/2019
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