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NPI Code Detail

MEDICARE: SUSAN PFEIFFER RPH

MEDICARE: SUSAN PFEIFFER RPH
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
1183500000XPharmacist15315WA

General Provider Information

NPI Number : 1225313125
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUSAN PFEIFFER RPH
Provider Business Mailing Address
First Line : 12228 W SUNRIDGE DR
Second Line :
City : NINE MILE FALLS
State : WA
Zip : 99026-9312
Country : US
Telephone Number : 509-467-9442
Fax Number :
Provider Business Practice Location Address
First Line : 12 E EMPIRE AVE
Second Line :
City : SPOKANE
State : WA
Zip : 99207-1706
Country : US
Telephone Number : 509-325-0781
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/12/2011
Last Update Date : 10/12/2011

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Directions to “ SUSAN PFEIFFER RPH” Practice Location

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