Individual
AMY JOY YANICAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD, MPH
Contact information
Practice address
4410 6TH AVE SE, APT 304, LACEY, WA 98503-1064
(704) 609-6870
Mailing address
4410 6TH AVE SE, APT 304, LACEY, WA 98503-1064
(704) 609-6870
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH60665592
WA
Other
Enumeration date
09/07/2016
Last updated
09/07/2016
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