Individual
LANAE L WIATER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
5840 N DIVISION ST, SPOKANE, WA 99208-1207
(509) 489-6010
Mailing address
47738 SUNSET HIGHWAY RD E, DAVENPORT, WA 99122-9565
(509) 263-2440
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
00051589
WA
183500000X
Pharmacist
0009315
OR
Other
Enumeration date
05/01/2007
Last updated
12/06/2018
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