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NPI Code Detail

MEDICARE: DR. SHAREN NUMA PHARMD, RPH

MEDICARE: DR. SHAREN NUMA PHARMD, 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
11835P1200XPharmacotherapy PharmacistPH00015614WA

General Provider Information

NPI Number : 1366413080
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SHAREN NUMA PHARMD, RPH
Provider Business Mailing Address
First Line : 1502 E 5TH ST
Second Line :
City : PORT ANGELES
State : WA
Zip : 98362-4700
Country : US
Telephone Number : 360-670-9340
Fax Number :
Provider Business Practice Location Address
First Line : 110 E 3RD ST
Second Line :
City : PORT ANGELES
State : WA
Zip : 98362-3010
Country : US
Telephone Number : 360-457-0599
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/31/2006
Last Update Date : 07/08/2007

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