Individual
GRANT HUCKELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1005 N STRATFORD RD, MOSES LAKE, WA 98837-3512
(509) 765-8979
Mailing address
1133 N GRAPE DR APT F303, MOSES LAKE, WA 98837-1885
(303) 525-9491
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH61353596
WA
Other
Enumeration date
08/07/2023
Last updated
05/03/2026
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