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NPI Code Detail

MEDICARE: KRISTEN A. WILLIAMS-ELLIS PHARMD

MEDICARE: KRISTEN A. WILLIAMS-ELLIS 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
1183500000XPharmacistP7057ID
2183500000XPharmacistPH60484940WA

General Provider Information

NPI Number : 1730560921
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTEN A. WILLIAMS-ELLIS PHARMD
Provider Business Mailing Address
First Line : 550 GAGE BLVD STE 101
Second Line :
City : RICHLAND
State : WA
Zip : 99352-9532
Country : US
Telephone Number : 509-942-3627
Fax Number : 509-627-2983
Provider Business Practice Location Address
First Line : 3950 KEENE RD
Second Line :
City : WEST RICHLAND
State : WA
Zip : 99353-4901
Country : US
Telephone Number : 509-942-3130
Fax Number : 509-628-8335
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/12/2015
Last Update Date : 04/25/2022

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Directions to “ KRISTEN A. WILLIAMS-ELLIS PHARMD” Practice Location

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