Individual
KHENDRA LORTIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
201 S WATER ST, ELLENSBURG, WA 98926-3675
(509) 962-0533
Mailing address
2401 N LANDON LN, ELLENSBURG, WA 98926-5915
(206) 816-2916
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
IR60862435
WA
Other
Enumeration date
08/07/2020
Last updated
08/07/2020
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