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Individual

JUSTIN BASSETT AVERETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARM.D.

Contact information

Practice address
77 WAINWRIGHT DR (119), WALLA WALLA, WA 99362-3975
(509) 525-5200
Mailing address
77 WAINWRIGHT DR (119), WALLA WALLA, WA 99362-3975
(509) 525-5200

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P5929
ID
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
P5929
ID

Other

Enumeration date
09/20/2006
Last updated
04/28/2026
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