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Individual

KATHRYN MARIE LEWIS KOVEN

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
PHARMD

Contact information

Practice address
77 WAINWRIGHT DR, JM WAINWRIGHT VAMC, WALLA WALLA, WA 99362-3975
(509) 525-5200
(509) 527-6137
Mailing address
2603 HARRIS AVE, RICHLAND, WA 99354-1639
(509) 554-1862
(509) 527-6137

Taxonomy

Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
7636
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
7636
STATE PHARMACY LICENSE
SC
Enumeration date
09/12/2005
Last updated
07/08/2007
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