Individual
LARISSA FAYE LOCKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
13009 NE HIGHWAY 99, VANCOUVER, WA 98686-2741
(360) 574-0914
(360) 573-8931
Mailing address
13009 NE HIGHWAY 99, VANCOUVER, WA 98686-2741
(360) 574-0914
(360) 573-8931
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH00070006
WA
Other
Enumeration date
02/24/2010
Last updated
02/24/2010
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