Individual
ALYSON KATHLEEN BLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
412 E SPOKANE FALLS BLVD, HSB 210L, SPOKANE, WA 99202-2131
(206) 661-8628
Mailing address
412 E SPOKANE FALLS BLVD, HSB 210L, SPOKANE, WA 99202-2131
(206) 661-8628
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH60478271
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PH60478271
PHARMACIST LICENSE
WA
Enumeration date
08/17/2014
Last updated
08/17/2014
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