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NPI Code Detail

MEDICARE: MRS. REBECCA FREY PHARMD

MEDICARE: MRS. REBECCA FREY 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
1183500000XPharmacistPH00021921WA
21835P0018XPharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistPH00021921WA

General Provider Information

NPI Number : 1689961112
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. REBECCA FREY PHARMD
Provider Business Mailing Address
First Line : 106 1ST ST S
Second Line :
City : YELM
State : WA
Zip : 98597-7700
Country : US
Telephone Number : 360-458-8467
Fax Number :
Provider Business Practice Location Address
First Line : 106 1ST ST S
Second Line :
City : YELM
State : WA
Zip : 98597-7700
Country : US
Telephone Number : 360-458-8467
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/05/2011
Last Update Date : 07/14/2022

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