JACKIE MARY WIDHALM

YAKIMA, WA
NPI1750653515
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: WA  PH00015720)
Enumeration Date2012-02-08
Last Update Date2012-02-08
Business Address
-- JACKIE MARY WIDHALM RPh
5801 SUMMITVIEW AVE
YAKIMA, WA 98908-3006
Phone number: 509-965-6393
Mailing Address
-- JACKIE MARY WIDHALM RPh
5801 SUMMITVIEW AVE
YAKIMA, WA 98908-3006
Phone number: 509-965-6393
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