MEDICARE: B.M.D CORPORATION

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	3336C0003X	Community/Retail Pharmacy	CF58065	WA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1265575773
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	B.M.D CORPORATION

Provider Business Mailing Address
First Line	:	3005 ALDERWOOD MALL PKWY
Second Line	:	SUITE # 100
City	:	LYNNWOOD
State	:	WA
Zip	:	98036
Country	:	US
Telephone Number	:	425-771-8090
Fax Number	:

Provider Business Practice Location Address
First Line	:	3005 ALDERWOOD MALL PKWY
Second Line	:	SUITE # 100
City	:	LYNNWOOD
State	:	WA
Zip	:	98036-6920
Country	:	US
Telephone Number	:	425-771-8090
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	SOHRAB DANESHFAR
Credential	:	PHARM D
Telephone Number	:	425-771-8090

Provider Enumeration Date	:	02/14/2007
Last Update Date	:	06/24/2008

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Directions to “B.M.D CORPORATION ” Practice Location

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