Individual
MRS. MARLO MARIE WHITE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PHARMACY TECHNICIAN
Contact information
Practice address
1115 13TH ST, SNOHOMISH, WA 98290-2012
(360) 568-0548
(360) 568-5151
Mailing address
44125 FIR RD, GOLD BAR, WA 98251-9365
(360) 793-1649
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
VA00019839
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
VA00019839
STATE LICENSE NUMBER
WA
Enumeration date
02/10/2006
Last updated
07/08/2007
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