Wanda T Gustafson

NPI #1013055342 in Tacoma, Washington

Provider Information

NPI Number: 1013055342
Entity Type: Individual
Name: Wanda T Gustafson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Enumeration Date: Feb 1, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 9505 S STEELE ST
City: Tacoma
State: Washington
ZIP Code: 98444-1858
Phone: (253) 597-6800

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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