Individual
LISA ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMACIST
Contact information
Practice address
413 LILLY RD NE, PROVIDENCE ST PETER HOSPITAL ANTICOAGULATION CLINIC, OLYMPIA, WA 98506
(360) 493-5369
Mailing address
PO BOX 1038, COSMOPOLIS, WA 98537-1038
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH00020356
WA
Other
Enumeration date
07/17/2012
Last updated
07/17/2012
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