Individual
LORA MARIE FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
4033 TALBOT RD S, RENTON, WA 98055-5772
(425) 690-3553
(425) 690-9553
Mailing address
26460 186TH CT SE, COVINGTON, WA 98042-8406
(253) 737-7183
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH60456073
WA
Other
Enumeration date
09/16/2014
Last updated
01/12/2024
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