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General NPI Number Information
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NPI Number | 1740355577
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Entity Type | Organization
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Legal Business Name | COVINGTON PHARMACY
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Dates
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Enumeration Date | 11/20/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 4300 TALBOT RD S 106
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City | RENTON
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State | WA
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Zip | 98055-6238
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Country | US
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Telephone | 425-228-2210
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Fax | 425-235-4916
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Provider Business Mailing Address
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Address Line | 4300 TALBOT RD S 106
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City | RENTON
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State | WA
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Zip | 98055-6238
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Country | US
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Telephone | 425-228-2210
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Fax | 425-235-4916
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Authorized Official
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Title or Position | OWNER
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Name | JAMES R RAMSETH
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Credential | RPH
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Telephone | 253-631-1200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | CF00057094
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License Number State | WA
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