Crystal Mayola Wyrick, RPh
Pharmacist in Stevenson, WA. Individual provider (NPI-1).
NPI number1760614879
StatusActive
Last updated in NPPESJun 14, 2022
Details
- NPI
- 1760614879
- Entity type
- Individual (NPI-1)
- Name
- Crystal Mayola Wyrick
- Credential
- RPh
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 23, 2009
- Certification date
- Jun 14, 2022
- Last updated
- Jun 14, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | PH60064475 | WA | Yes |
| 183500000X | Pharmacist | RPH-0011491 | OR | |
| 183500000X | Pharmacist | 14004 | NC |
Practice location
280 Sw 2nd StStevenson, WA 98648-4226
Phone 509-427-5480 · Fax 509-427-7807
Mailing address
916 W Evergreen BlvdVancouver, WA 98660-3035
Phone 360-213-2236
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Pharmacist providers in Stevenson, WA
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.