Individual
KONSTANTIN VLASOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1221 S HAYFORD RD, SPOKANE, WA 99224-7023
(509) 459-0614
Mailing address
1221 S HAYFORD RD, SPOKANE, WA 99224-7023
(509) 459-0614
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH60217077
WA
Other
Enumeration date
11/19/2014
Last updated
11/19/2014
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