Individual
MS. DIANNE W WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
8635 MYRTLE RD., STANWOOD, WA 98292
(360) 629-1729
Mailing address
8635 MYRTLE ROAD, POBOX 96, STANWOOD, WA 98292
(360) 629-1729
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH00009253
WA
Other
Enumeration date
05/30/2007
Last updated
07/08/2007
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