Individual
DAVID ALLEN EASLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
121 W WALNUT ST, NEWPORT, WA 99156-9030
(509) 447-3972
(509) 447-1104
Mailing address
121 W WALNUT ST, NEWPORT, WA 99156-9030
(509) 447-3972
(509) 447-1104
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH 10814
WA
Other
Enumeration date
11/16/2010
Last updated
11/16/2010
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