Individual
DR. STANLEY MICHAEL PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
77 WAINWRIGHT DR, ANTICOAGULATION CLINIC, WALLA WALLA, WA 99362-3975
(509) 525-5200
(509) 526-6242
Mailing address
77 WAINWRIGHT DR, ANTICOAGULATION CLINIC, WALLA WALLA, WA 99362-3975
(509) 525-5200
(509) 526-6242
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
RPH022305
GA
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
RPH022305
GA
1835P1200X
Pharmacotherapy Pharmacist
RPH022305
GA
Other
Enumeration date
05/06/2010
Last updated
05/10/2012
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