Individual
BRITNE LYNN WAKEM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
110 W K ST, SHELTON, WA 98584-2944
(360) 545-4333
Mailing address
4709 BLACKBERRY CT SE, LACEY, WA 98503-5984
(360) 250-3633
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH60574901
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
457486
NABP
WA
Enumeration date
06/24/2020
Last updated
06/24/2020
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