Individual
DR. COURTNEY ALEXIS WASHBURN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM D
Contact information
Practice address
116 QUAKER ST, GRANVILLE, NY 12832
(518) 642-2332
Mailing address
116 QUAKER ST, GRANVILLE, NY 12832
(518) 642-2332
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
053583
NY
Other
Enumeration date
02/25/2010
Last updated
06/10/2020
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