Individual
MR. ELTON DALE KEARNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
391 N MAIN ST, COLVILLE, WA 99114-2309
(509) 684-8481
(509) 684-3275
Mailing address
391 N MAIN ST, COLVILLE, WA 99114-2309
(509) 684-8481
(509) 684-3275
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH00040459
WA
Other
Enumeration date
11/11/2010
Last updated
11/11/2010
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