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NPI Code Detail

MEDICARE: MRS. ERIKA MARIE SMITH PHARMD

MEDICARE: MRS. ERIKA MARIE SMITH PHARMD
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
1163WD0400XDiabetes Educator Registered NursePH60083046WA
2183500000XPharmacist12846AZ
3183500000XPharmacistPH60083046WA

General Provider Information

NPI Number : 1548356959
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ERIKA MARIE SMITH PHARMD
Provider Business Mailing Address
First Line : 521 E MOUNTAIN VIEW AVE
Second Line :
City : ELLENSBURG
State : WA
Zip : 98926-3865
Country : US
Telephone Number : 509-962-1470
Fax Number : 509-962-1485
Provider Business Practice Location Address
First Line : 521 E MOUNTAIN VIEW AVE
Second Line :
City : ELLENSBURG
State : WA
Zip : 98926-3865
Country : US
Telephone Number : 509-962-1470
Fax Number : 509-962-1485
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/04/2006
Last Update Date : 03/26/2020

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