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NPI Code Detail

MEDICARE: DOROTHY LEWIN RPH

MEDICARE:   DOROTHY  LEWIN  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
1183500000XPharmacistPH00047684WA
2183500000XPharmacistRPH016926GA
3183500000XPharmacist17300AL

General Provider Information

NPI Number : 1508908013
Entity Type Code : Individual
Provider Name (Legal Business Name) : DOROTHY LEWIN RPH
Provider Business Mailing Address
First Line : 32199 STATE ROUTE 20
Second Line :
City : OAK HARBOR
State : WA
Zip : 98277-3774
Country : US
Telephone Number : 360-675-4511
Fax Number :
Provider Business Practice Location Address
First Line : 32199 STATE ROUTE 20
Second Line :
City : OAK HARBOR
State : WA
Zip : 98277-3774
Country : US
Telephone Number : 360-675-4511
Fax Number : 360-240-9311
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/12/2007
Last Update Date : 05/11/2013

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