Individual
KATHLEEN MICHELLE MOULLET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1230 7TH AVE, LONGVIEW, WA 98632-3166
(360) 575-4850
Mailing address
1230 7TH AVE, LONGVIEW, WA 98632-3166
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH61511477
WA
Other
Enumeration date
11/05/2024
Last updated
11/05/2024
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