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Individual

KRISTEN NICHOLE ELLISON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARMD

Contact information

Practice address
2925 HARRISON AVE NW, OLYMPIA, WA 98502-2566
(360) 570-4617
(360) 570-4627
Mailing address
4301 MARICITE ST SE, LACEY, WA 98503-2159
(406) 239-4314

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
PH60096405
MT
183500000X
Pharmacist
Primary
PH60096405
WA

Other

Enumeration date
06/03/2011
Last updated
06/03/2011
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