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NPI Code Detail

MEDICARE: MRS. BRITTNY L MILLWARD RPH

MEDICARE: MRS. BRITTNY L MILLWARD 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
1183500000XPharmacistPH60801460WA

General Provider Information

NPI Number : 1508369695
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. BRITTNY L MILLWARD RPH
Provider Business Mailing Address
First Line : 9224 ASH AVE SE
Second Line :
City : SNOQUALMIE
State : WA
Zip : 98065-5082
Country : US
Telephone Number : 801-856-5768
Fax Number :
Provider Business Practice Location Address
First Line : 5700 E LAKE SAMMAMISH PKWY SE
Second Line :
City : ISSAQUAH
State : WA
Zip : 98029-8914
Country : US
Telephone Number : 425-391-6408
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/14/2018
Last Update Date : 03/14/2018

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