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NPI Code Detail

MEDICARE: MR. ANDREW MECCA PHARM.D.

MEDICARE: MR. ANDREW MECCA PHARM.D.
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
1183500000XPharmacistPH00040728WA

General Provider Information

NPI Number : 1699975318
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. ANDREW MECCA PHARM.D.
Provider Business Mailing Address
First Line : 9601 STEILACOOM BLVD SW
Second Line :
City : LAKEWOOD
State : WA
Zip : 98498-7212
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 9601 STEILACOOM BLVD SW
Second Line :
City : LAKEWOOD
State : WA
Zip : 98498-7212
Country : US
Telephone Number : 253-756-2363
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/20/2007
Last Update Date : 02/01/2012

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