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NPI Code Detail

MEDICARE: SANDY M EMTMAN RPH

MEDICARE:   SANDY M EMTMAN  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
1183500000XPharmacistPH00017093WA

General Provider Information

NPI Number : 1184907966
Entity Type Code : Individual
Provider Name (Legal Business Name) : SANDY M EMTMAN RPH
Provider Business Mailing Address
First Line : 2830 S GRAND BLVD
Second Line :
City : SPOKANE
State : WA
Zip : 99203-2528
Country : US
Telephone Number : 509-455-3736
Fax Number :
Provider Business Practice Location Address
First Line : 2830 S GRAND BLVD
Second Line :
City : SPOKANE
State : WA
Zip : 99203-2528
Country : US
Telephone Number : 509-455-3736
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/27/2011
Last Update Date : 09/27/2011

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Directions to “ SANDY M EMTMAN RPH” Practice Location

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