Individual
MS. LESLEY ANN KRUGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
916 W EVERGREEN BLVD, VANCOUVER, WA 98660-3035
(360) 213-2236
(360) 213-2238
Mailing address
916 W EVERGREEN BLVD, VANCOUVER, WA 98660-3035
(360) 213-2236
(360) 213-2238
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH60227550
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PH60227550
PHARMACIST LICENSE
WA
Enumeration date
10/09/2012
Last updated
10/09/2012
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