DR. Mary Nicole Henselen, PHARMD

NPI #1164722930 in Puyallup, Washington

Provider Information

NPI Number: 1164722930
Entity Type: Individual
Name: DR. Mary Nicole Henselen, PHARMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: PHARMD
Enumeration Date: Oct 27, 2010
Last Updated: Oct 27, 2010

Practice Location

Address: 611 S MERIDIAN
City: Puyallup
State: Washington
ZIP Code: 98371-5907
Phone: (253) 841-1534

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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