Individual
KRISTIN LUCKEROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
315 MARTIN LUTHER KING JR WAY, TACOMA, WA 98405-4234
(206) 245-0544
Mailing address
315 MARTIN LUTHER KING JR WAY, ATTN MARY BRIDGE PHARMACY, TACOMA, WA 98405
(206) 245-0544
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH00051353
WA
Other
Enumeration date
11/14/2021
Last updated
11/14/2021
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