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NPI Code Detail

MEDICARE: MS. ANN STARSHINE PALMER R.PH

MEDICARE: MS. ANN STARSHINE PALMER R.PH
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
1183500000XPharmacistPH00016057WA

General Provider Information

NPI Number : 1417098492
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ANN STARSHINE PALMER R.PH
Provider Business Mailing Address
First Line : 8540 ISLAND VIEW CT NE
Second Line :
City : OLYMPIA
State : WA
Zip : 98506-9741
Country : US
Telephone Number : 360-754-2316
Fax Number :
Provider Business Practice Location Address
First Line : 700 LILLY RD NE
Second Line :
City : OLYMPIA
State : WA
Zip : 98506-5115
Country : US
Telephone Number : 360-923-7602
Fax Number : 360-923-7609
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/10/2007
Last Update Date : 07/08/2007

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Directions to “ MS. ANN STARSHINE PALMER R.PH” Practice Location

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