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NPI Code Detail

MEDICARE: MR. DONALD JAMES DECHENNE RPH

MEDICARE: MR. DONALD JAMES DECHENNE 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
1183500000XPharmacistPH00009223WA

General Provider Information

NPI Number : 1396046645
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. DONALD JAMES DECHENNE RPH
Provider Business Mailing Address
First Line : 121 W WALNUT ST
Second Line :
City : NEWPORT
State : WA
Zip : 99156-9030
Country : US
Telephone Number : 509-447-3972
Fax Number : 509-447-1104
Provider Business Practice Location Address
First Line : 121 W WALNUT ST
Second Line :
City : NEWPORT
State : WA
Zip : 99156-9030
Country : US
Telephone Number : 509-447-3972
Fax Number : 509-447-1104
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/03/2010
Last Update Date : 11/03/2010

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