NPI 1043609431

Jon Granbois

Practitioner Pharmacist Walla Walla, WA

Practice location

Address: 633 W Tietan St, Walla Walla, WA 99362-4329
Phone: (509) 529-1570
Mailing address: 916 Martin Dr, Walla Walla, WA 99362-1528

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence PH60470396 (WA)

Other Pharmacist providers in Washington →

Registry record

NPI: 1043609431
Entity type: Individual
Sex (as registered): Male
NPI issued: 22 Jan 2015
Record last updated: 22 Jan 2015

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.