Individual
COLLEEN CLANCY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
315 MARTIN LUTHER KING JR WAY, TACOMA, WA 98405-4234
(253) 403-1077
Mailing address
201 41ST AVE NE, OLYMPIA, WA 98506-2424
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH00012214
WA
Other
Enumeration date
07/19/2006
Last updated
07/08/2007
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