Individual
BREANNA GIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1901 S UNION AVE, TACOMA, WA 98405-1702
(253) 381-5044
Mailing address
1901 S UNION AVE, TACOMA, WA 98405-1702
(253) 381-5044
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH61181556
WA
Other
Enumeration date
10/08/2021
Last updated
07/28/2024
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