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Individual

DR. ALISSA L. O'CONNELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARM. D.

Contact information

Practice address
205 PINE AVE, SNOHOMISH, WA 98290-2539
(360) 563-0223
(360) 563-0418
Mailing address
8412 6TH PL SE, EVERETT, WA 98205-1789
(425) 335-4935

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH00066744
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PH00066744
STATE PHARMACIST LICENSE
WA
Enumeration date
04/18/2007
Last updated
07/08/2007
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