Individual
CRYSTAL BRYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
700 NE 87TH AVE, VANCOUVER, WA 98664-1913
(509) 331-4266
Mailing address
7101 NE 109TH ST APT K83, VANCOUVER, WA 98686-4736
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH60281580
WA
183500000X
Pharmacist
RPH-0013209
OR
Other
Enumeration date
07/31/2012
Last updated
12/21/2018
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