Individual
MICHELLE TEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMACY TECHNICIAN
Contact information
Practice address
4776 WHITMAN LN SE, LACEY, WA 98513-2246
(360) 412-5962
Mailing address
4776 WHITMAN LN SE, LACEY, WA 98513-2246
(360) 412-5962
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
VA61222183
WA
Other
Enumeration date
08/06/2022
Last updated
08/06/2022
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