MEDICARE: DR. DAYL ECCLES 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	1835P1200X	Pharmacotherapy Pharmacist	PH60336358	WA
2	1835P0018X	Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist	PH60336358	WA
3	1835P2201X	Ambulatory Care Pharmacist	PH60336358	WA
4	183500000X	Pharmacist	PH60336358	WA
5	183500000X	Pharmacist	PHA.0020159	CO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1598023863
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAYL ECCLES PHARMD

Provider Business Mailing Address
First Line	:	PO BOX 99
Second Line	:
City	:	EATONVILLE
State	:	WA
Zip	:	98328-0099
Country	:	US
Telephone Number	:	360-832-3121
Fax Number	:

Provider Business Practice Location Address
First Line	:	618 S MERIDIAN
Second Line	:
City	:	PUYALLUP
State	:	WA
Zip	:	98371-5999
Country	:	US
Telephone Number	:	253-848-2011
Fax Number	:	253-848-3119

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

Provider Enumeration Date	:	04/24/2012
Last Update Date	:	06/03/2026

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Directions to “ DR. DAYL ECCLES PHARMD” Practice Location

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