Individual
VIKTOR VLADIMIROVICH GOLOVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
STUDENT PHARMACIST
Contact information
Practice address
201 S WATER ST, ELLENSBURG, WA 98926-3675
(509) 962-0533
Mailing address
201 S WATER ST, ELLENSBURG, WA 98926-3675
(509) 962-0533
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
IR60910307
WA
Other
Enumeration date
08/10/2020
Last updated
08/10/2020
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