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NPI Code Detail

MEDICARE: MARINA M ELGERGAWE RPH

MEDICARE: MARINA M ELGERGAWE RPH
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
1183500000XPharmacistPH61514958WA

General Provider Information

NPI Number : 1518731223
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARINA M ELGERGAWE RPH
Provider Business Mailing Address
First Line : 1201 39TH AVE SW
Second Line :
City : PUYALLUP
State : WA
Zip : 98373-3803
Country : US
Telephone Number : 949-275-6707
Fax Number :
Provider Business Practice Location Address
First Line : 1201 39TH AVE SW
Second Line :
City : PUYALLUP
State : WA
Zip : 98373-3803
Country : US
Telephone Number : 253-445-7542
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/13/2023
Last Update Date : 03/13/2026

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Directions to “ MARINA M ELGERGAWE RPH” Practice Location

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