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NPI Code Detail

MEDICARE: DR. ERIN KAY ALLDREDGE PHARMD

MEDICARE: DR. ERIN KAY ALLDREDGE 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
1183500000XPharmacistPH00067512WA

General Provider Information

NPI Number : 1780964809
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ERIN KAY ALLDREDGE PHARMD
Provider Business Mailing Address
First Line : 1110 W WASHINGTON ST
Second Line :
City : SEQUIM
State : WA
Zip : 98382-3270
Country : US
Telephone Number : 360-683-9453
Fax Number :
Provider Business Practice Location Address
First Line : 1110 W WASHINGTON ST
Second Line :
City : SEQUIM
State : WA
Zip : 98382-3270
Country : US
Telephone Number : 360-683-9453
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/20/2011
Last Update Date : 01/08/2015

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