Individual
MS. DIAN ALETHA POYSSICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
8196 STATE ROUTE 104, KINGSTON, WA 98346
(360) 297-1811
Mailing address
2767 NE ALDERWOOD LN, KINGSTON, WA 98346-9240
(360) 297-4719
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH00019194
WA
Other
Enumeration date
05/14/2007
Last updated
07/08/2007
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