Jodie Nicole Van Diest, PHARMD, BCCCP

NPI #1629666375 in Everett, Washington

Provider Information

NPI Number: 1629666375
Entity Type: Individual
Name: Jodie Nicole Van Diest, PHARMD, BCCCP
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: PHARMD, BCCCP
Enumeration Date: Jan 7, 2021
Last Updated: Jan 7, 2021

Practice Location

Address: 1700 13TH ST
City: Everett
State: Washington
ZIP Code: 98201-1689
Phone: (425) 261-3532

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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