Individual
BRIAN RAY HEDDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
196 SUSSEX AVE W, TENINO, WA 98589-9327
(360) 264-2575
(360) 264-5039
Mailing address
PO BOX 4008, TENINO, WA 98589-4008
(360) 264-2575
(360) 264-5039
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH00011372
WA
Other
Enumeration date
10/23/2021
Last updated
10/23/2021
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