Individual
LEAH GANGL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
12606 NE 95TH ST, VANCOUVER, WA 98682-2398
(800) 839-9836
Mailing address
12606 NE 95TH ST, VANCOUVER, WA 98682-2398
(800) 839-9836
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH00066942
WA
183500000X
Pharmacist
RPH-0010906
OR
Other
Enumeration date
08/10/2016
Last updated
08/10/2016
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