Individual
EDNA CAMILLE PUCKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
8505 W GAGE BLVD, KENNEWICK, WA 99336-8120
(509) 737-8877
Mailing address
8505 W GAGE BLVD, KENNEWICK, WA 99336-8120
(509) 737-8877
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH 00018185
WA
Other
Enumeration date
10/03/2011
Last updated
10/03/2011
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