Individual
KAYLA RAE HUBER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
104 W MAIN ST, GOLDENDALE, WA 98620-9589
(509) 773-4344
(509) 773-4526
Mailing address
104 W MAIN ST, GOLDENDALE, WA 98620-9589
(509) 773-4344
(509) 773-4526
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
PH61690922
WA
3336C0002X
Clinic Pharmacy
Primary
PH61690922
WA
Other
Enumeration date
09/10/2025
Last updated
09/10/2025
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