Individual
KANZA IJAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
305 COOPER POINT RD NW STE 103, OLYMPIA, WA 98502-4436
(360) 754-8014
Mailing address
1518 ONYX ST SE, OLYMPIA, WA 98501-2784
(610) 741-7979
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH60718772
WA
Other
Enumeration date
07/12/2018
Last updated
07/12/2018
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