Individual
MS. KATHY LEE GUPTILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
17100 STATE ROUTE 507 SE, YELM, WA 98597-7605
(360) 400-8062
(360) 400-8065
Mailing address
17100 STATE ROUTE 507 SE, YELM, WA 98597-7605
(360) 400-8062
(360) 400-8065
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
009947
KY
183500000X
Pharmacist
26016529A
IN
183500000X
Pharmacist
2862
MT
183500000X
Pharmacist
Primary
PH00040340
WA
183500000X
Pharmacist
S007979
AZ
Other
Enumeration date
09/23/2014
Last updated
09/23/2014
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