Individual
BRITTANY LOUIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4560 SE INTERNATIONAL WAY STE 101, MILWAUKIE, OR 97222-4628
(971) 206-5205
Mailing address
7819 SE 17TH ST, VANCOUVER, WA 98664-1783
(360) 910-0363
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
PH60807231
WA
183500000X
Pharmacist
Primary
RPH-0016262
OR
Other
Enumeration date
07/10/2018
Last updated
07/10/2018
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