Individual
MRS. BROOKE ALEXIS B HENNINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
4054 CAMERON DR NE, LACEY, WA 98516-3904
(925) 980-8440
Mailing address
4054 CAMERON DR NE, LACEY, WA 98516-3904
(925) 980-8440
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH60877507
WA
Other
Enumeration date
10/17/2018
Last updated
06/22/2023
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