MEDICARE: MRS. TERRI WASHINGTON

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
1	183500000X	Pharmacist	051.306298	IL
2	183500000X	Pharmacist	26021491A	IN
3	183500000X	Pharmacist	P11121	ID
4	183500000X	Pharmacist	45754	TX

General Provider Information

NPI Number	:	1982930590
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. TERRI WASHINGTON

Provider Business Mailing Address
First Line	:	2460 WINTERSTONE DR
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75023-7819
Country	:	US
Telephone Number	:	317-201-4319
Fax Number	:

Provider Business Practice Location Address
First Line	:	6201 W PLANO PKWY
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75093-4914
Country	:	US
Telephone Number	:	800-874-5881
Fax Number	:	415-484-7058

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/02/2009
Last Update Date	:	05/23/2025

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Directions to “ MRS. TERRI WASHINGTON ” Practice Location

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