Individual
KATRINA RAE-PENINOY CARMICHAEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11501 CANYON RD E, PUYALLUP, WA 98373-4359
(253) 536-5296
Mailing address
11501 CANYON RD E, PUYALLUP, WA 98373-4359
(253) 536-5296
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
60864234
WA
Other
Enumeration date
05/31/2019
Last updated
05/31/2019
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