Wanda T Gustafson

NPI 1013055342 - Pharmacist - 183500000X

NPI Details
NPI 1013055342
Gender Female
Enumeration Date 02/01/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
TACOMA WA, 98444-1858, US
Phone (253) 597-6800
Business Location
PO BOX 34584
SEATTLE WA, 98124-1584, US
Phone (509) 241-7349
Fax (509) 241-7628
Taxonomy Code 183500000X
License State Washington
License Number PH00011127
Remove 1013055342 NPI Number

According to our database, Wanda T Gustafson NPI is 1013055342, taxonomy code is 183500000X and license number is PH00011127, license state is located at Washington. Wanda T Gustafson physically located at 9505 S Steele St, Tacoma WA, 98444-1858. NPI Number Wanda T Gustafson has the Individual type.

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1013055342 NPI number is provided on an as is basis without warranty of any kind. 1013055342 is maintained by the National Plan & Provider Enumeration System. The contents of Wanda T Gustafson are for informational purposes only.