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NPI Code Detail

MEDICARE: MR. EDWARD K MATSUWAKA RPH

MEDICARE:  MR. EDWARD K MATSUWAKA  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
1183500000XPharmacist14541WA

General Provider Information

NPI Number : 1598970584
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. EDWARD K MATSUWAKA RPH
Provider Business Mailing Address
First Line : 720 7TH AVE
Second Line : SUITE 100
City : SEATTLE
State : WA
Zip : 98104-1957
Country : US
Telephone Number : 206-838-6070
Fax Number : 206-838-9775
Provider Business Practice Location Address
First Line : 720 7TH AVE
Second Line : SUITE 100
City : SEATTLE
State : WA
Zip : 98104-1957
Country : US
Telephone Number : 206-838-6070
Fax Number : 206-838-9775
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/11/2007
Last Update Date : 08/29/2007

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Directions to “ MR. EDWARD K MATSUWAKA RPH” Practice Location

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