Individual
CONNIE MARIE BRYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16200 SE MILL PLAIN BLVD, VANCOUVER, WA 98684-9868
(360) 449-6425
Mailing address
30225 S LYNN MARIE LN, COLTON, OR 97017-9437
(503) 320-4871
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0007786
OR
Other
Enumeration date
12/28/2020
Last updated
12/28/2020
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