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Individual

CASEY A WOOD HARRELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHARMD

Contact information

Practice address
101 BOLSTAD AVENUE, LONG BEACH, WA 98631
(360) 642-2349
(360) 642-8786
Mailing address
PO BOX 1635, LONG BEACH, WA 98631-1635
(360) 642-0740
(360) 642-8786

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH00040220
WA

Other

Enumeration date
10/19/2006
Last updated
07/08/2007
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