Provider Demographics
NPI:1306511928
Name:BUISSINK, BRITTNEY VIRGINIA (PHARMD)
Entity type:Individual
Prefix:DR
First Name:BRITTNEY
Middle Name:VIRGINIA
Last Name:BUISSINK
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:BRITTNEY
Other - Middle Name:VIRGINIA
Other - Last Name:GONZALEZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1225 E ALDER ST
Mailing Address - Street 2:
Mailing Address - City:WALLA WALLA
Mailing Address - State:WA
Mailing Address - Zip Code:99362-3537
Mailing Address - Country:US
Mailing Address - Phone:509-301-9421
Mailing Address - Fax:
Practice Address - Street 1:1700 SE MEADOWBROOK BLVD
Practice Address - Street 2:
Practice Address - City:COLLEGE PLACE
Practice Address - State:WA
Practice Address - Zip Code:99324-1798
Practice Address - Country:US
Practice Address - Phone:509-525-3626
Practice Address - Fax:509-525-3819
Is Sole Proprietor?:No
Enumeration Date:2021-08-16
Last Update Date:2025-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDP9493183500000X
WAPH61229746183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist