Individual
KEITH PROUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
179 HEATHER HEIGHTS DR, SELAH, WA 98942-8939
(509) 225-0127
Mailing address
179 HEATHER HEIGHTS DR, SELAH, WA 98942-8939
(509) 225-0127
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH00017418
WA
Other
Enumeration date
04/03/2020
Last updated
11/27/2023
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