Individual
MARINA BASILY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
19121 112TH AVE NE APT 636, BOTHELL, WA 98011-0042
(678) 252-7511
Mailing address
19121 112TH AVE NE APT 636, BOTHELL, WA 98011-0042
(678) 252-7511
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
60925907
WA
Other
Enumeration date
11/09/2019
Last updated
11/09/2019
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