Individual
WANNIPAT HERZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14427 12TH DR SE, MILL CREEK, WA 98012-1385
(425) 346-7131
Mailing address
14427 12TH DR SE, MILL CREEK, WA 98012-1385
(425) 346-7131
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
VB61081643
WA
183700000X
Pharmacy Technician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
VB61081643
PHARMACY ASSISTANT
WA
Enumeration date
09/22/2020
Last updated
10/15/2020
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