Individual
KATIE MAXWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D
Contact information
Practice address
1350 GARRETT ST, ENUMCLAW, WA 98022-3468
(360) 825-5739
Mailing address
1350 GARRETT ST, ENUMCLAW, WA 98022-3468
(360) 825-5739
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
60667237
WA
Other
Enumeration date
06/21/2016
Last updated
06/21/2016
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