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1063758985
LARA PETERSON
YAKIMA, WA
NPI
1063758985
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: WA 00059649)
Enumeration Date
2012-12-20
Last Update Date
2012-12-20
Business Address
Mrs. LARA PETERSON RPh
1206 N 40TH AVE
YAKIMA, WA 98908-9456
Phone number: 509-576-6833
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Mailing Address
Mrs. LARA PETERSON RPh
120 ECHO GLENN PL
YAKIMA, WA 98908-8815
Phone number: 509-388-8643
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