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NPI Code Detail

MEDICARE: MILA CORPUZ

MEDICARE: MILA CORPUZ
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
1183500000XPharmacist20012WA

General Provider Information

NPI Number : 1184033029
Entity Type Code : Individual
Provider Name (Legal Business Name) : MILA CORPUZ
Provider Business Mailing Address
First Line : 4722 RUTHERFORD CIR SW
Second Line : 3497 BETHEL RD
City : PORT ORCHARD
State : WA
Zip : 98367-6430
Country : US
Telephone Number : 360-433-7483
Fax Number :
Provider Business Practice Location Address
First Line : 3497 BETHEL RD SE
Second Line :
City : PORT ORCHARD
State : WA
Zip : 98366-5634
Country : US
Telephone Number : 360-874-9063
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/05/2014
Last Update Date : 08/05/2014

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Directions to “ MILA CORPUZ ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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