Individual
KRISTIN WALLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
20148 10TH AVE NE, POULSBO, WA 98370-7372
(360) 779-5335
(360) 779-4099
Mailing address
20148 10TH AVE NE, POULSBO, WA 98370-7372
(360) 779-5335
(360) 779-4099
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH00018247
WA
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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