Individual
MRS. ELIZABETH ANN BAKKEN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PHARMACIST
Contact information
Practice address
1450 S GRAND AVE, PULLMAN, WA 99163-4900
(509) 332-0602
Mailing address
845 SE HIGH ST, PULLMAN, WA 99163-2265
(509) 332-5380
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
P5716
ID
183500000X
Pharmacist
Primary
PH00013586
WA
Other
Enumeration date
05/08/2006
Last updated
07/08/2007
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