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NPI Code Detail

MEDICARE: DR. HEATHER RAE FERGUSON PHARMD

MEDICARE: DR. HEATHER RAE FERGUSON 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
1183500000XPharmacistPH00053025WA
2183500000XPharmacistPS37894FL

General Provider Information

NPI Number : 1124027578
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. HEATHER RAE FERGUSON PHARMD
Provider Business Mailing Address
First Line : 325 9TH AVE
Second Line : BOX 359885
City : SEATTLE
State : WA
Zip : 98104-2499
Country : US
Telephone Number : 206-731-3320
Fax Number :
Provider Business Practice Location Address
First Line : 325 9TH AVE
Second Line : BOX 359885
City : SEATTLE
State : WA
Zip : 98104-2420
Country : US
Telephone Number : 206-731-3220
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/19/2005
Last Update Date : 07/08/2007

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