Individual
MARY LINDBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
1908 4TH AVE E STE A, OLYMPIA, WA 98506-4632
(360) 352-4426
(360) 352-2167
Mailing address
1908 4TH AVE E STE A, OLYMPIA, WA 98506-4632
(360) 352-4426
(360) 352-2167
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH00009932
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6125603
—
WA
Enumeration date
12/09/2014
Last updated
12/09/2014
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