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General NPI Number Information
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NPI Number | 1598837585
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Entity Type | Organization
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Legal Business Name | WOODINVILLE PHARMACY INC
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Dates
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Enumeration Date | 11/14/2006
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Last Update Date | 10/03/2024
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Provider Practice Location Address
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Address Line | 17000 140TH AVE NE UNIT E101
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City | WOODINVILLE
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State | WA
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Zip | 98072-6903
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Country | US
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Telephone | 425-485-2900
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Fax | 425-481-5064
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Provider Business Mailing Address
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Address Line | 17000 140TH AVE NE UNIT E101
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City | WOODINVILLE
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State | WA
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Zip | 98072-6903
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Country | US
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Telephone | 425-485-2900
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Fax | 425-481-5064
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Authorized Official
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Title or Position | PHAMACIST CO-OWNER
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Name | MRS. ELIZABETH A. FICKLIN
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Credential |
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Telephone | 425-485-2900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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