MEDICARE: MR. KIRBY A DRAWBAUGH RPH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	7590	WA

General Provider Information

NPI Number	:	1013051234
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. KIRBY A DRAWBAUGH RPH

Provider Business Mailing Address
First Line	:	18360 W LAKE DESIRE DR SE
Second Line	:
City	:	RENTON
State	:	WA
Zip	:	98058-9568
Country	:	US
Telephone Number	:	206-909-6397
Fax Number	:

Provider Business Practice Location Address
First Line	:	18360 W LAKE DESIRE DR SE
Second Line	:
City	:	RENTON
State	:	WA
Zip	:	98058-9568
Country	:	US
Telephone Number	:	206-909-6397
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/19/2007
Last Update Date	:	09/29/2010

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Directions to “ MR. KIRBY A DRAWBAUGH RPH” Practice Location

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