Individual
KRISTY K SALLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1905 SE 164TH AVE, VANCOUVER, WA 98683-8937
(360) 885-2938
Mailing address
501 SE 123RD AVE, P112, VANCOUVER, WA 98683-4034
(808) 224-3601
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH60366264
WA
Other
Enumeration date
01/25/2013
Last updated
09/02/2014
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