Individual
GRAYSON BOSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
316 S WHITCOMB AVE, TONASKET, WA 98855-8824
(509) 486-9120
Mailing address
316 S WHITCOMB AVE, TONASKET, WA 98855-8824
(509) 486-9120
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH61106261
WA
Other
Enumeration date
10/06/2021
Last updated
10/06/2021
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