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NPI Code Detail

MEDICARE: DR. JESSICA M ISAWA PHARMD

MEDICARE: DR. JESSICA M ISAWA 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
1183500000XPharmacistPH00061648WA

General Provider Information

NPI Number : 1124006903
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JESSICA M ISAWA PHARMD
Provider Business Mailing Address
First Line : 5901 ROOSEVELT WAY NE
Second Line : #208
City : SEATTLE
State : WA
Zip : 98105-2754
Country : US
Telephone Number : 206-399-2196
Fax Number :
Provider Business Practice Location Address
First Line : 2222 32ND AVE W
Second Line :
City : SEATTLE
State : WA
Zip : 98199-4044
Country : US
Telephone Number : 206-282-2881
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/03/2006
Last Update Date : 09/13/2007

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