Individual
KELLY M MCCORMICK
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
R.PH.
Contact information
Practice address
24217 SE 45TH ST, ISSAQUAH, WA 98029-7523
(425) 557-2942
Mailing address
24217 SE 45TH ST, ISSAQUAH, WA 98029-7523
(425) 557-2942
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH15225
WA
Other
Enumeration date
01/12/2006
Last updated
07/08/2007
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