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Individual

DR. KONSTANTIN AVETISYAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
4215 VALENCIA DR, PASCO, WA 99301-8198
(509) 460-1584
Mailing address
4215 VALENCIA DR, PASCO, WA 99301-8198
(509) 460-1584

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH60275095
WA

Other

Enumeration date
08/08/2012
Last updated
08/08/2012
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