Individual
MR. KISANBREANDY ARA SAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7041 PACIFIC AVE, TACOMA, WA 98408-7220
(253) 474-8500
(253) 474-0253
Mailing address
7041 PACIFIC AVE, TACOMA, WA 98408-7220
(253) 474-8500
(253) 474-0253
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
VA61099641
WA
Other
Enumeration date
12/16/2021
Last updated
12/16/2021
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