Individual
TIFFANY NICOLE WATERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
201 S WATER ST, ELLENSBURG, WA 98926-3675
(509) 607-9358
Mailing address
7081 COOKE CANYON RD, ELLENSBURG, WA 98926-5058
(509) 607-9358
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
08/07/2025
Last updated
08/07/2025
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