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General NPI Number Information
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NPI Number | 1841352820
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Entity Type | Organization
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Legal Business Name | NG'S WESTSIDE PHARMACY
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Dates
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Enumeration Date | 12/15/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 5401 CALIFORNIA AVE SW
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City | SEATTLE
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State | WA
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Zip | 98136-1512
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Country | US
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Telephone | 206-937-5722
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Fax | 206-935-0118
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Provider Business Mailing Address
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Address Line | 5401 CALIFORNIA AVE SW
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City | SEATTLE
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State | WA
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Zip | 98136-1512
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Country | US
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Telephone | 206-937-5722
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Fax | 206-935-0118
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Authorized Official
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Title or Position | OWNER-CHIEF PHARMACIST
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Name | MICHAEL NG
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Credential | PHARM.D.
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Telephone | 206-937-5722
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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 | PH00010261
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License Number State | WA
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