Individual
HOA LE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12607 SE MILL PLAIN BLVD, VANCOUVER, WA 98684-6055
(360) 449-1600
Mailing address
12607 SE MILL PLAIN BLVD, VANCOUVER, WA 98684-6055
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
RPH-0016368
OR
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
PH-60781638
WA
390200000X
Student in an Organized Health Care Education/Training Program
PI-0011730
OR
Other
Enumeration date
06/27/2017
Last updated
02/28/2024
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