Individual
AMBER GLASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4700 POINT FOSDICK DR NW, SUITE 120, GIG HARBOR, WA 98335-1706
(253) 858-9941
(253) 853-7828
Mailing address
4700 POINT FOSDICK DR NW, SUITE 120, GIG HARBOR, WA 98335-1706
(253) 858-9941
(253) 853-7828
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH00013577
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6118806
—
WA
Enumeration date
04/26/2016
Last updated
04/26/2016
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