Individual
KELLY WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
6727 EVERGREEN WAY, EVERETT, WA 98203-4551
(425) 353-7539
Mailing address
1131 115TH ST SW APT G104, EVERETT, WA 98204-7888
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH 60494809
WA
Other
Enumeration date
10/17/2014
Last updated
10/17/2014
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