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Individual

CARRIE PAULA SANDERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1615 DELAWARE ST, LONGVIEW, WA 98632-2367
(360) 414-2000
Mailing address
1330 NE 136TH AVE APT 61, VANCOUVER, WA 98684-5916
(619) 277-2997

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH61462566
WA

Other

Enumeration date
11/20/2023
Last updated
11/20/2023
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