Individual
MARA ILZE UPENIEKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
800 LAKE DR, ISSAQUAH, WA 98027-5391
(800) 607-6861
(425) 313-6730
Mailing address
800 LAKE DR, ISSAQUAH, WA 98027-5391
(800) 607-6861
(425) 313-6730
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH00010795
WA
Other
Enumeration date
07/27/2012
Last updated
06/13/2013
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