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NPI Code Detail

MEDICARE: DR. DIONE KISHA WASHINGTON PHARMD

MEDICARE:  DR. DIONE KISHA WASHINGTON  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
11835P0018XPharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistPS43884FL

General Provider Information

NPI Number : 1235368473
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DIONE KISHA WASHINGTON PHARMD
Provider Business Mailing Address
First Line : 10137 LANCASHIRE DR
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32219-4367
Country : US
Telephone Number : 904-200-9818
Fax Number :
Provider Business Practice Location Address
First Line : 10137 LANCASHIRE DR
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32219-4367
Country : US
Telephone Number : 904-200-9818
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/09/2009
Last Update Date : 11/09/2010

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Directions to “ DR. DIONE KISHA WASHINGTON PHARMD” Practice Location

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