Individual
TIFFANY DISMUKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12420 N DIVISION ST, SPOKANE, WA 99218-1930
(509) 466-1946
(509) 468-9887
Mailing address
12420 N DIVISION ST, SPOKANE, WA 99218-1930
(509) 466-1946
(509) 468-9887
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
VA61358074
WA
Other
Enumeration date
12/16/2022
Last updated
12/16/2022
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