Individual
ALEXIS GRACE SHAFFSTALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
7451 CIRQUE DR W, UNIVERSITY PLACE, WA 98467-2273
(253) 564-7569
Mailing address
7451 CIRQUE DR W, UNIVERSITY PLACE, WA 98467-2273
(253) 564-7569
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH61257850
WA
Other
Enumeration date
09/14/2022
Last updated
09/14/2022
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