Individual
MRS. JOANNE SORENSON IVERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.PH.
Contact information
Practice address
3007 41ST ST SE, PUYALLUP, WA 98374-1740
(253) 848-7440
Mailing address
3007 41ST ST SE, PUYALLUP, WA 98374-1740
(253) 848-7440
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH00007682
WA
Other
Enumeration date
04/09/2013
Last updated
04/09/2013
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