Alyssa Nystrom

NPI #1457735623 in Gig Harbor, Washington

Provider Information

NPI Number: 1457735623
Entity Type: Individual
Name: Alyssa Nystrom
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Enumeration Date: Jul 16, 2015
Last Updated: Jul 16, 2015

Practice Location

Address: 11400 51ST AVE NW
City: Gig Harbor
State: Washington
ZIP Code: 98332-7891
Phone: (253) 858-7799

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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