Doctor Name: | MISS KELLY MARIE LETOURNEAU |
NPI Number: | 1831175975 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PHT |
License Number: | V46538 |
Business Practice Address: | 4700 Ne 4th St Renton, WA - 980594800 |
Business Phone Number: | 4257931015 |
Business Fax Number: | |
Mailing Address: | 300 Vuemont Pl Ne, #n204 RENTON |
State: | WA |
Postal Code: | 980564504 |
Phone Number: | 2066171202 |
Fax Number: | |
NPI Enumeration Date: | 12/20/2005 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 183700000X |
License Number: | V46538 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Pharmacy Service Providers |
Taxonomy Classification: | Pharmacy Technician |
Taxonomy Specialization: | |
Taxonomy Definition: | A person who works under the direct supervision of a licensed pharmacist and performs many pharmacy-related functions that do not require the professional judgment of a pharmacist. |