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NPI Code Detail

MEDICARE: MISS LEONISA VERIGA PHARMD

MEDICARE:  MISS LEONISA  VERIGA  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
1183500000XPharmacistPH60273380WA

General Provider Information

NPI Number : 1396000105
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS LEONISA VERIGA PHARMD
Provider Business Mailing Address
First Line : 13000 LAKE CITY WAY NE
Second Line :
City : SEATTLE
State : WA
Zip : 98125-4429
Country : US
Telephone Number : 206-440-2400
Fax Number :
Provider Business Practice Location Address
First Line : 13000 LAKE CITY WAY NE
Second Line :
City : SEATTLE
State : WA
Zip : 98125-4429
Country : US
Telephone Number : 206-440-2400
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/08/2012
Last Update Date : 10/30/2012

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Directions to “ MISS LEONISA VERIGA PHARMD” Practice Location

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