Individual
JESSICA CARPENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
810 N HIGHWAY, COLVILLE, WA 99114-2028
(509) 684-2973
Mailing address
810 N HIGHWAY, COLVILLE, WA 99114-2028
(509) 684-2973
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH60159175
WA
Other
Enumeration date
08/05/2014
Last updated
08/05/2014
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