TARA KELLY MIXON

SEATTLE, WA
NPI1376724856
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: WA  PH00051895)
Enumeration Date2007-11-26
Last Update Date2021-02-05
Business Address
TARA KELLY MIXON PHARMD
616 OLIVE WAY
SEATTLE, WA 98101-1717
Phone number: 206-622-3565
Mailing Address
TARA KELLY MIXON PHARMD
7037 20TH AVE NE
SEATTLE, WA 98115-5707
Phone number: 206-890-0150
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