Individual
AMANDA ITAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6400 W NOB HILL BLVD, YAKIMA, WA 98908-1929
(509) 965-0541
Mailing address
6400 W NOB HILL BLVD, YAKIMA, WA 98908-1929
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH60666847
WA
Other
Enumeration date
09/07/2016
Last updated
09/07/2016
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