Individual
BREANNA GIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
2420 S UNION AVE STE 300, TACOMA, WA 98405-1387
(253) 680-6200
Mailing address
2420 S UNION AVE STE 300, TACOMA, WA 98405-1387
(253) 680-6200
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH61181556
WA
Other
Enumeration date
10/08/2021
Last updated
06/16/2026
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