Individual
JO KIESTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
617 BENTON ST, OMAK, WA 98841-9636
(509) 422-7735
Mailing address
617 BENTON ST, OMAK, WA 98841-9636
(509) 422-7735
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P6543
ID
Other
Enumeration date
07/02/2019
Last updated
07/02/2019
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