Individual
BRONSTON STUART LALLIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
23731 SE 243RD CT, MAPLE VALLEY, WA 98038-5266
(808) 778-1771
Mailing address
23731 SE 243RD CT, MAPLE VALLEY, WA 98038-5266
(808) 778-1771
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
60783058
WA
Other
Enumeration date
10/16/2020
Last updated
10/16/2020
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