Individual
DOI BU MARIP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12 S 8TH ST, YAKIMA, WA 98901-3020
(509) 454-4143
Mailing address
PO BOX 2605, YAKIMA, WA 98907-2605
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH61309926
WA
Other
Enumeration date
09/20/2022
Last updated
09/20/2022
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