Individual
BANCHEGIZE LUCY ANN SHELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1609 MAIN ST STE B, FREELAND, WA 98249-9003
(360) 331-4700
Mailing address
3984 LAMBS REST LN, GREENBANK, WA 98253-9750
(360) 914-8550
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
15692349
WA
Other
Enumeration date
02/07/2025
Last updated
02/07/2025
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