Individual
MRS. JENNIFER ANN PUCKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
755 NW GILMAN BLVD, T-0996, ISSAQUAH, WA 98027-5357
(425) 507-1020
(425) 507-1020
Mailing address
755 NW GILMAN BLVD, T-0996, ISSAQUAH, WA 98027-5357
(425) 507-1020
(425) 507-1020
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH60093679
WA
Other
Enumeration date
06/10/2011
Last updated
06/10/2011
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