Most Relevant Information
Provider Data
| NPI Number: | 1003224429 |
| Provider Name: | WAYNE RICKORDS |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | PH 00021413 |
Most Important Dates
| Enumeration Date: | 07/29/2014 |
| Last Updated: | 11/17/2015 |
Provider Practice Location
450 N WILBUR AVE
WALLA WALLA
WA
993622254
Practice Location Phone/Fax
| Phone: | 5095292008 |
| Fax: |
Provider Mailing Location
450 N WILBUR AVE
WALLA WALLA
WA
993622254
Provider Mailing Phone/Fax
| Phone: | 5095253626 |
| Fax: |