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Individual

ANTHONY HABERSTROH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARMD.

Contact information

Practice address
413 LILLY RD NE, OLYMPIA, WA 98506-5133
(360) 493-7207
(360) 493-7424
Mailing address
413 LILLY RD NE, OLYMPIA, WA 98506-5133
(360) 493-7207
(360) 493-7424

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH60570648
WA

Other

Enumeration date
09/29/2015
Last updated
09/29/2015
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