Individual
DR. LYNETTE WILLETO WASSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM.D
Contact information
Practice address
40520 COUNTY HIGHWAY 34, OGEMA, MN 56569-9612
(189) 836-3402
Mailing address
40520 COUNTY HIGHWAY 34, OGEMA, MN 56569
(218) 983-6380
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PHAP2170
AK
1835P1200X
Pharmacotherapy Pharmacist
PHAP2170
AK
Other
Enumeration date
07/03/2017
Last updated
08/02/2019
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