Individual
GARY TRACY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMACIST
Contact information
Practice address
1399 NAT WASHINGTON WAY, EPHRATA, WA 98823-2629
(509) 754-8847
Mailing address
1801 BRIARWOOD PL, EAST WENATCHEE, WA 98802-8304
(509) 670-8140
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH00020067
WA
Other
Enumeration date
09/16/2014
Last updated
09/16/2014
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