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NPI Code Detail

MEDICARE: QFC

MEDICARE: QFC
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
1333600000XPharmacyPH00009475WA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1911330075OTHERTAX ID
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1043571235
Entity Type Code : Organization
Provider Name (Legal Business Name) : QFC
Provider Business Mailing Address
First Line : 460 E NORTH BEND WAY
Second Line : PO BOX 329
City : NORTH BEND
State : WA
Zip : 98045-8270
Country : US
Telephone Number : 425-888-2357
Fax Number : 425-831-1953
Provider Business Practice Location Address
First Line : 460 E NORTH BEND WAY
Second Line :
City : NORTH BEND
State : WA
Zip : 98045-8270
Country : US
Telephone Number : 425-888-2357
Fax Number : 425-831-1953
Authorized Official
Title or Position : PHARMACY MANAGER
Name : JOHN MARSHALL
Credential : RPH
Telephone Number : 425-888-2357
Provider Enumeration Date : 06/04/2012
Last Update Date : 06/04/2012

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Directions to “QFC ” Practice Location

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