Individual
DR. DANIELLE NICOLE TIBBETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM.D., M.A
Contact information
Practice address
1600 PLAZA WAY, WALLA WALLA, WA 99362-4325
(509) 522-4672
Mailing address
1600 PLAZA WAY, WALLA WALLA, WA 99362-4325
(509) 522-4672
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
P8912
ID
183500000X
Pharmacist
Primary
PH61054380
WA
Other
Enumeration date
08/11/2020
Last updated
05/20/2023
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