Individual
AMANDA GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3901 HOYT AVE, EVERETT, WA 98201-4988
(425) 259-0966
Mailing address
PO BOX 5127, EVERETT, WA 98206-5127
(425) 259-0966
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH60900102
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
WA
Other
Enumeration date
03/07/2014
Last updated
10/01/2020
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