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NPI Code Detail

MEDICARE: MR. MATT PARROTT PHARMD

MEDICARE: MR. MATT PARROTT 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
1183500000XPharmacistPH00064770WA

General Provider Information

NPI Number : 1265733265
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. MATT PARROTT PHARMD
Provider Business Mailing Address
First Line : 3532 172ND ST NE
Second Line :
City : ARLINGTON
State : WA
Zip : 98223-8758
Country : US
Telephone Number : 360-651-6194
Fax Number : 360-657-1835
Provider Business Practice Location Address
First Line : 3532 172ND ST NE
Second Line :
City : ARLINGTON
State : WA
Zip : 98223-8758
Country : US
Telephone Number : 360-651-6194
Fax Number : 360-657-1835
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/06/2010
Last Update Date : 11/06/2010

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Directions to “ MR. MATT PARROTT PHARMD” Practice Location

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