Individual
CARRIE CASEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6305 BRIDGEPORT WAY W, UNIVERSITY PLACE, WA 98467-5117
(253) 460-4033
Mailing address
1717 S J ST, TACOMA, WA 98405-4933
(253) 460-4033
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
183500000X
WA
Other
Enumeration date
02/17/2015
Last updated
10/12/2015
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