Individual
MRS. INA JEAN HOLLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
17202 15TH AVE NE, SHORELINE, WA 98155-5130
(206) 364-4618
Mailing address
17202 15TH AVE NE, SHORELINE, WA 98155-5130
(206) 364-4618
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH00040599
WA
Other
Enumeration date
01/02/2007
Last updated
11/03/2010
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