NPI 1013055342

Wanda T Gustafson

Practitioner Pharmacist Tacoma, WA

Practice location

Address: 9505 S Steele St, Tacoma, WA 98444-1858
Phone: (253) 597-6800
Mailing address: PO Box 34584, Seattle, WA 98124-1584

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence PH00011127 (WA)

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Registry record

NPI: 1013055342
Entity type: Individual
Sex (as registered): Female
NPI issued: 1 Feb 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.