Most Relevant Information
Provider Data
| NPI Number: | 1003490459 |
| Provider Name: | STACY LYNN GRAHAM CPHT |
| Entity Type: | Individual |
| Taxonomy Code: | 183700000X |
| Specialty: | Pharmacy Technician |
| License Number: | VA60316223 |
Most Important Dates
| Enumeration Date: | 05/11/2021 |
| Last Updated: | 06/21/2021 |
Provider Practice Location
1901 N STEPTOE ST
KENNEWICK
WA
993367120
Practice Location Phone/Fax
| Phone: | 5097833413 |
| Fax: | 5097352802 |
Provider Mailing Location
1901 N STEPTOE ST
KENNEWICK
WA
993367120
Provider Mailing Phone/Fax
| Phone: | 5099874890 |
| Fax: |