MEDICARE: DR. TIMOTHY SAUER DPH

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	PH00039073	WA

General Provider Information

NPI Number	:	1508148727
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TIMOTHY SAUER DPH

Provider Business Mailing Address
First Line	:	1708 W NORTHWEST BLVD
Second Line	:
City	:	SPOKANE
State	:	WA
Zip	:	99205-3600
Country	:	US
Telephone Number	:	509-323-0309
Fax Number	:	509-323-0311

Provider Business Practice Location Address
First Line	:	1708 W NORTHWEST BLVD
Second Line	:
City	:	SPOKANE
State	:	WA
Zip	:	99205-3600
Country	:	US
Telephone Number	:	509-323-0309
Fax Number	:	509-323-0311

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

Provider Enumeration Date	:	09/13/2011
Last Update Date	:	09/13/2011

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