Individual
KEITH MARK HERNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
1201 39TH AVE SW, PUYALLUP, WA 98373-3803
(253) 445-7542
(253) 445-7549
Mailing address
1201 39TH AVE SW, PUYALLUP, WA 98373-3803
(253) 445-7542
(253) 445-7549
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH00016997
WA
Other
Enumeration date
10/17/2019
Last updated
10/17/2019
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