Individual
JOANNA BEATA WAGNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMACIST
Contact information
Practice address
905 E MEAD AVE, YAKIMA, WA 98903-3721
(509) 457-6040
Mailing address
3307 CASTLEVALE RD UNIT B, YAKIMA, WA 98902-1018
(432) 294-0362
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
60142829
WA
Other
Enumeration date
10/10/2022
Last updated
10/10/2022
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