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General NPI Number Information
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NPI Number | 1518013887
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Entity Type | Organization
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Legal Business Name | RUBENSTEIN MEMORIAL HLTH CTR PHARMACY
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Dates
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Enumeration Date | 01/26/2007
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Last Update Date | 08/18/2008
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Provider Practice Location Address
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Address Line | 106 HALL HEALTH MS BOX 354410
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City | SEATTLE
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State | WA
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Zip | 98195-0001
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Country | US
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Telephone | 206-685-1021
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Fax | 206-685-9990
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Provider Business Mailing Address
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Address Line | 106 HALL HEALTH MS BOX 354410
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City | SEATTLE
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State | WA
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Zip | 98195-0001
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Country | US
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Telephone | 206-685-1021
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Fax | 206-685-9990
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Authorized Official
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Title or Position | PHARMACY DIRECTOR
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Name | MR. G. JOHN MEDINA
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Credential | R.PH.
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Telephone | 206-543-5215
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | FO 00000359
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License Number State | WA
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