MEDICARE: DR. HAROLD JAMES WASHINGTON JR. PHARMD

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
1	183500000X	Pharmacist	44424	CA

General Provider Information

NPI Number	:	1053467043
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HAROLD JAMES WASHINGTON JR. PHARMD

Provider Business Mailing Address
First Line	:	2928 W 76TH ST
Second Line	:
City	:	INGLEWOOD
State	:	CA
Zip	:	90305-1005
Country	:	US
Telephone Number	:	323-750-0535
Fax Number	:

Provider Business Practice Location Address
First Line	:	10600 S WESTERN AVE
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90047-4449
Country	:	US
Telephone Number	:	323-754-3075
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/25/2007
Last Update Date	:	07/08/2007

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