MR. Rustel Lee Kiesser, BPHARM, RPH

NPI #1699076356 in Washougal, Washington

Provider Information

NPI Number: 1699076356
Entity Type: Individual
Name: MR. Rustel Lee Kiesser, BPHARM, RPH
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: BPHARM, RPH
Enumeration Date: Nov 11, 2010
Last Updated: Nov 11, 2010

Practice Location

Address: 3307 EVERGREEN WAY STE 5
City: Washougal
State: Washington
ZIP Code: 98671-2063
Phone: (360) 335-2006

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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