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NPI Code Detail

MEDICARE: DR. JACINTHA STALL CAUFFIELD PHARMD, BCPS

MEDICARE: DR. JACINTHA STALL CAUFFIELD PHARMD, BCPS
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
1183500000XPharmacistPS30611FL
2183500000XPharmacistPH00057767WA
31835P1300XPsychiatric Pharmacist298117DC

General Provider Information

NPI Number : 1538161955
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JACINTHA STALL CAUFFIELD PHARMD, BCPS
Provider Business Mailing Address
First Line : 400 NE MOTHER JOSEPH PLACE
Second Line :
City : VANCOUVER
State : WA
Zip : 98664
Country : US
Telephone Number : 360-514-2060
Fax Number :
Provider Business Practice Location Address
First Line : 400 NE MOTHER JOSEPH PL
Second Line :
City : VANCOUVER
State : WA
Zip : 98664-3200
Country : US
Telephone Number : 360-514-2060
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/15/2005
Last Update Date : 09/21/2009

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