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Search › Washington › 183500000X

Jackie Widhalm, RPH

NPI 1750653515 · on the registry since 2012 · sole proprietor

Practice

Address
5801 Summitview Ave
Yakima, WA 98908
Phone
(509) 965-6393
Fax
(509) 965-5966
Organisation at this address
Shopko Stores Operating Co Llc
Shopko Stores Operating Co. Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
4

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
WA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2012-02-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington