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NPI Code Detail

MEDICARE: DR. TEMETRA RICE WASHINGTON PHARMD

MEDICARE: DR. TEMETRA RICE WASHINGTON 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
1183500000XPharmacist15034NC

General Provider Information

NPI Number : 1972715209
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. TEMETRA RICE WASHINGTON PHARMD
Provider Business Mailing Address
First Line : 7858 WOODMERE DR
Second Line :
City : HARRISBURG
State : NC
Zip : 28075-6682
Country : US
Telephone Number : 704-455-7659
Fax Number :
Provider Business Practice Location Address
First Line : 9805 ROCKY RIVER RD
Second Line :
City : CHARLOTTE
State : NC
Zip : 28215-8922
Country : US
Telephone Number : 704-494-3466
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/07/2007
Last Update Date : 07/08/2007

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