Individual
LURA BACALZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8862 161ST AVE NE # 102, REDMOND, WA 98052-7553
(425) 883-9532
Mailing address
8862 161ST AVE NE, REDMOND, WA 98052-7553
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH00069151
WA
Other
Enumeration date
06/27/2012
Last updated
10/04/2012
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