Individual
KRISTINA DUPREE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
320 HARRISON ST, SEDRO WOOLLEY, WA 98284-1035
(360) 855-0735
Mailing address
550 ALGER CCC RD, SEDRO WOOLLEY, WA 98284-8138
(360) 770-5185
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH00060094
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PH00060094
PHARMACY LICENSE
WA
Enumeration date
01/08/2021
Last updated
01/08/2021
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