Individual
MRS. LISA DEPRIEST
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PHARMACY TEHNICIAN
Contact information
Practice address
14277 PACIFIC HWY S, TUKWILA, WA 98168-4124
(206) 431-9652
(206) 431-0470
Mailing address
17429 158TH AVE SE, RENTON, WA 98058-9156
(425) 254-0751
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
VA00019263
WA
Other
Enumeration date
01/19/2006
Last updated
07/08/2007
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