Individual
CHUCK LEEVAN FIGUERAS BALUCA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2811 TIETON DR, YAKIMA, WA 98902
(509) 575-8000
Mailing address
1004 S 89TH AVE # 2, YAKIMA, WA 98908-9351
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
PH60684706
WA
1835P2201X
Ambulatory Care Pharmacist
PH60684706
WA
Other
Enumeration date
02/18/2018
Last updated
06/25/2018
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