Individual
JANE WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4255 249TH AVE SE, ISSAQUAH, WA 98029-6402
(206) 300-7844
Mailing address
4255 249TH AVE SE, ISSAQUAH, WA 98029-6402
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH00061232
WA
183500000X
Pharmacist
RPH-0012518
OR
Other
Enumeration date
11/19/2014
Last updated
11/19/2014
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