Individual
GARY MICHAEL LAGERSTROM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM D
Contact information
Practice address
9230 SKY ISLAND DRIVE EAST, BONNEY LAKE, WA 98391-0000
(253) 750-6050
(253) 750-6055
Mailing address
9230 SKY ISLAND DR E, BONNEY LAKE, WA 98391
(253) 750-6050
(253) 750-6055
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH00065014
WA
Other
Enumeration date
09/03/2008
Last updated
07/31/2013
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