Individual
LINDA WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
10200 19TH AVE SE, EVERETT, WA 98208-4256
(425) 379-7487
Mailing address
12502 SE 62ND PL, BELLEVUE, WA 98006-3903
(425) 641-7740
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
00014788
WA
Other
Enumeration date
03/13/2012
Last updated
03/13/2012
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