Individual
JENNIFER LOUISE NEWMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
207 E STANLEY ST, GRANITE FALLS, WA 98252-8480
(360) 691-7778
Mailing address
6320 71ST ST NE, MARYSVILLE, WA 98270-4170
(360) 659-6916
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH00016388
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PH00016388
PHARMACIST LICENSE
WA
Enumeration date
11/20/2017
Last updated
11/20/2017
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