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NPI Code Detail

MEDICARE: MRS. SAVOTH PHIN

MEDICARE:  MRS. SAVOTH  PHIN
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
1183700000XPharmacy TechnicianVA00049714WA

General Provider Information

NPI Number : 1306829163
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. SAVOTH PHIN
Provider Business Mailing Address
First Line : 8815 17TH AVE SW
Second Line :
City : SEATTLE
State : WA
Zip : 98106-2311
Country : US
Telephone Number : 206-767-9232
Fax Number :
Provider Business Practice Location Address
First Line : 9600 15TH AVE SW
Second Line :
City : SEATTLE
State : WA
Zip : 98106-2820
Country : US
Telephone Number : 206-763-2728
Fax Number : 206-762-7630
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/25/2005
Last Update Date : 07/08/2007

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Directions to “ MRS. SAVOTH PHIN ” Practice Location

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