KRISTIN JO WAGNER

SPOKANE, WA
NPI1992879092
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: WA  ph00020076)
Enumeration Date2006-11-20
Last Update Date2007-07-08
Business Address
-- KRISTIN JO WAGNER
3919 N MAPLE ST
SPOKANE, WA 99205-1349
Phone number: 509-444-8888
Mailing Address
-- KRISTIN JO WAGNER
35925 N PIKE RD
DEER PARK, WA 99006-9147
Phone number: 509-292-8398