Individual
JANELLE WORTMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
600 E MAIN ST, ELMA, WA 98541-9560
(360) 346-2238
Mailing address
600 E MAIN ST, ELMA, WA 98541-9560
(360) 346-2238
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
IR60448375
WA
Other
Enumeration date
11/16/2015
Last updated
07/27/2020
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