Individual
COREY BOBOTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2721 4TH PARALLEL RD, ELLENSBURG, WA 98926-9787
(509) 859-2140
Mailing address
2721 4TH PARALLEL RD, ELLENSBURG, WA 98926-9787
(509) 859-2140
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
IR60983267
WA
Other
Enumeration date
07/09/2020
Last updated
07/09/2020
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