Individual
JESSE LEWIS ALONZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1250 N HIGHWAY, COLVILLE, WA 99114-2005
(509) 684-3151
(509) 684-3233
Mailing address
330 E 4TH AVE APT 5, COLVILLE, WA 99114-2961
(253) 777-5971
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH60877265
WA
Other
Enumeration date
03/22/2024
Last updated
03/22/2024
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