Individual
KATHLEEN PARKINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM D
Contact information
Practice address
4540 LACEY BLVD SE, LACEY, WA 98503-5719
(360) 435-2353
Mailing address
14515 LINDSAY LOOP SE, YELM, WA 98597-8598
(208) 409-6049
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P5910
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P5910
IDAHO STATE BOARD OF PHARMACY
ID
01
—
PH61162305
WASHINGTON DEPARTMENT OF HEALTH
WA
01
—
PHA-PHA-LIC-62964
MONTANA STATE BOARD OF PHARMACY
MT
Enumeration date
11/17/2011
Last updated
09/09/2021
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