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Individual

GREGORY ALLEN EDMISTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHARM.D,.

Contact information

Practice address
2811 TIETON DR, YAKIMA, WA 98902-3761
(509) 575-8036
(509) 575-8700
Mailing address
9033 LOYAL AVE NW, SEATTLE, WA 98117-2648

Taxonomy

Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
PH60284840
WA

Other

Enumeration date
07/23/2012
Last updated
07/23/2012
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