Individual
IRENE MOULTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
12607 SE MILL PLAIN BLVD, VANCOUVER, WA 98684-6055
(866) 279-1758
Mailing address
6509 NE 112TH ST, VANCOUVER, WA 98686-4666
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
PH60871326
WA
183500000X
Pharmacist
Primary
RPH-0016792
OR
Other
Enumeration date
09/12/2018
Last updated
09/12/2018
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