EMILY BROOKE WALLACE

PULLMAN, WA
NPI1306204144
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: WA  60302033)
Additional Taxonomies183500000X Pharmacist
(Licence: ID  e34399)
183500000X Pharmacist
(Licence: MT  PHA-PIN-LIC-15878)
Enumeration Date2016-02-08
Last Update Date2016-02-08
Business Address
-- EMILY BROOKE WALLACE Pharm.D. Candidate
2290 NE WESTWOOD DR APT H103
PULLMAN, WA 99163-5233
Phone number: 406-579-7205
Mailing Address
-- EMILY BROOKE WALLACE Pharm.D. Candidate
2290 NE WESTWOOD DR APT H103
PULLMAN, WA 99163-5233
Phone number: 406-579-7205