BLAINE PERVINICH

YAKIMA, WA
NPI1922608439
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: WA  61076550)
Enumeration Date2020-10-26
Last Update Date2020-10-26
Business Address
Dr. BLAINE PERVINICH PharmD
1610 W LINCOLN AVE
YAKIMA, WA 98902-2408
Phone number: 360-471-0199
Mailing Address
Dr. BLAINE PERVINICH PharmD
3695 SE SOHOLT LN
PORT ORCHARD, WA 98367-7899
Phone number: 360-471-0199
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