Individual
MRS. JEAN RAE WERNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
1905 SE 164TH AVE, VANCOUVER, WA 98683-8937
(360) 835-4337
Mailing address
1905 SE 164TH AVE, VANCOUVER, WA 98683-8937
(360) 835-4337
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
18660
IA
183500000X
Pharmacist
9316
OR
183500000X
Pharmacist
Primary
PH00054594
WA
Other
Enumeration date
05/27/2010
Last updated
05/27/2010
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