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NPI Code Detail

MEDICARE: PATRICIA TUYET SAGADIEV RPH

MEDICARE: PATRICIA TUYET SAGADIEV 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
1183500000XPharmacist16248MD
2183500000XPharmacist18609CO
3183500000XPharmacistPH60568836WA

General Provider Information

NPI Number : 1134349574
Entity Type Code : Individual
Provider Name (Legal Business Name) : PATRICIA TUYET SAGADIEV RPH
Provider Business Mailing Address
First Line : 1210 E 2ND ST
Second Line :
City : POST ANGELES
State : WA
Zip : 98362
Country : US
Telephone Number : 301-807-4016
Fax Number :
Provider Business Practice Location Address
First Line : 424 E 2ND ST
Second Line :
City : PORT ANGELES
State : WA
Zip : 98362-3119
Country : US
Telephone Number : 360-452-4200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/26/2007
Last Update Date : 07/12/2021

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