Individual
MELODIE D RACICKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMACIST TECHNICIA
Contact information
Practice address
250 BASIN ST SW, EPHRATA, WA 98823-1852
(509) 754-3513
Mailing address
250 BASIN ST SW, EPHRATA, WA 98823-1852
(509) 754-3513
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
VA61037827
WA
Other
Enumeration date
06/03/2021
Last updated
06/03/2021
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