Individual
JENNIFER LAWRENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
2601 E DIVISION ST, MOUNT VERNON, WA 98274
(360) 848-6930
(360) 848-6948
Mailing address
2601 E DIVISION ST, MOUNT VERNON, WA 98274-4748
(360) 848-6930
(360) 848-6948
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
15476
NE
183500000X
Pharmacist
PD13639
AR
183500000X
Pharmacist
Primary
PH60864679
WA
Other
Enumeration date
11/16/2017
Last updated
08/24/2018
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