Individual
KRISTI FORTNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
18805 STATE ROUTE 2, MONROE, WA 98272-1438
(360) 805-8133
Mailing address
18805 STATE ROUTE 2, MONROE, WA 98272-1438
(360) 805-8133
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
60021995
WA
Other
Enumeration date
03/19/2012
Last updated
03/19/2012
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