Individual
ANNA KOMISSARCHIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1330 ROCKEFELLER AVE STE 220, EVERETT, WA 98201-1678
(425) 297-5220
Mailing address
3515 159TH PL SE, BOTHELL, WA 98012-4736
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH60085646
WA
Other
Enumeration date
01/31/2014
Last updated
01/31/2014
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