MEDICARE: MR. WILLIAM IRA BAUGHMAN PHARMD

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	183500000X	Pharmacist	PH00039758	WA

General Provider Information

NPI Number	:	1316268808
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. WILLIAM IRA BAUGHMAN PHARMD

Provider Business Mailing Address
First Line	:	7905 N DIVISION ST
Second Line	:
City	:	SPOKANE
State	:	WA
Zip	:	99208-5633
Country	:	US
Telephone Number	:	509-467-8361
Fax Number	:

Provider Business Practice Location Address
First Line	:	7905 N DIVISION ST
Second Line	:
City	:	SPOKANE
State	:	WA
Zip	:	99208-5633
Country	:	US
Telephone Number	:	509-467-8361
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/18/2010
Last Update Date	:	06/18/2010

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