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NPI Code Detail

MEDICARE: MELISSA HARVEY R.PH.

MEDICARE: MELISSA HARVEY R.PH.
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
1183500000XPharmacistPH00017722WA

General Provider Information

NPI Number : 1033419908
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELISSA HARVEY R.PH.
Provider Business Mailing Address
First Line : 1201 39TH AVE SW
Second Line :
City : PUYALLUP
State : WA
Zip : 98373-3803
Country : US
Telephone Number : 253-445-7542
Fax Number : 253-445-7549
Provider Business Practice Location Address
First Line : 1201 39TH AVE SW
Second Line :
City : PUYALLUP
State : WA
Zip : 98373-3803
Country : US
Telephone Number : 253-445-7542
Fax Number : 253-445-7549
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/26/2010
Last Update Date : 08/23/2019

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Directions to “ MELISSA HARVEY R.PH.” Practice Location

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