Individual
MS. MARIE A. GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
1230 7TH AVE, LONGVIEW, WA 98632-3166
(360) 636-6226
(360) 636-6249
Mailing address
1230 7TH AVE, LONGVIEW, WA 98632-3166
(360) 636-6226
(360) 636-6249
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH00010738
WA
183500000X
Pharmacist
RPH-0007222
OR
Other
Enumeration date
11/26/2007
Last updated
11/26/2007
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