Individual
LYDIA MINNICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
450 N WILBUR AVE, WALLA WALLA, WA 99362-2254
(509) 529-2008
Mailing address
2371 EAGLE RIDGE CT, RICHLAND, WA 99354-2387
(509) 521-6335
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH00039351
WA
Other
Enumeration date
10/28/2010
Last updated
03/13/2023
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