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Individual

MARY FLACK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1211 AHTANUM RIDGE DR, UNION GAP, WA 98903-1813
(509) 525-5200
Mailing address
245 SHERMAN ST APT 225, SUTHERLIN, OR 97479-7411

Taxonomy

Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
RPH-0015567
OR

Other

Enumeration date
05/31/2017
Last updated
05/14/2025
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