Individual
JESSICA PENNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1660 S COLUMBIAN WAY, SEATTLE, WA 98108-1532
(206) 762-1010
Mailing address
4720 RAINIER AVE S UNIT 361, SEATTLE, WA 98118-2155
(208) 449-3560
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
P10230
ID
183500000X
Pharmacist
Primary
PH61304086
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/22/2022
Last updated
08/19/2022
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