Individual
DAVID NYGREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
506 5TH ST, CLARKSTON, WA 99403
(509) 758-6660
(509) 758-9461
Mailing address
506 5TH ST, CLARKSTON, WA 99403
(509) 758-6660
(509) 758-9461
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH00009092
WA
Other
Enumeration date
07/22/2014
Last updated
07/22/2014
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