Individual
MARY L KELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
6600 NE 112TH COURT, STE 103, VANCOUVER, WA 98662
(360) 694-7377
Mailing address
2808 NW 93RD ST, VANCOUVER, WA 98665-6140
(360) 694-7377
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH00064623
WA
Other
Enumeration date
06/05/2007
Last updated
07/08/2007
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