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NPI Code Detail

MEDICARE: MR. SCOTT ALAN MIHULKA PHARM D.

MEDICARE: MR. SCOTT ALAN MIHULKA PHARM D.
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
11835P0018XPharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistPH00039643WA

General Provider Information

NPI Number : 1225012107
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. SCOTT ALAN MIHULKA PHARM D.
Provider Business Mailing 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
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 :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/03/2005
Last Update Date : 06/02/2026

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Directions to “ MR. SCOTT ALAN MIHULKA PHARM D.” Practice Location

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