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Individual

JENNIFER MITCHELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHARM.D.

Contact information

Practice address
850 MAPLE STREET, ATTN: PHARMACY, MEDICAL LAKE, WA 99022-0000
(509) 565-4348
Mailing address
PO BOX 800, ATTN: PHARMACY, MEDICAL LAKE, WA 99022-0800
(509) 565-4348

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
42371
TX
183500000X
Pharmacist
Primary
PH00064625
WA

Other

Enumeration date
06/11/2014
Last updated
06/11/2014
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