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NPI Code Detail

MEDICARE: MRS. SYDNEY CLARICE JENKINS PHARMACY TECHNICIAN

MEDICARE:  MRS. SYDNEY CLARICE JENKINS  PHARMACY TECHNICIAN
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
1183700000XPharmacy TechnicianVA00040179WA

General Provider Information

NPI Number : 1619925765
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. SYDNEY CLARICE JENKINS PHARMACY TECHNICIAN
Provider Business Mailing Address
First Line : 14314 SE 162ND PL
Second Line :
City : RENTON
State : WA
Zip : 98058-8254
Country : US
Telephone Number : 425-255-3581
Fax Number :
Provider Business Practice Location Address
First Line : 17254 140TH AVE SE
Second Line :
City : RENTON
State : WA
Zip : 98058-7014
Country : US
Telephone Number : 425-226-7000
Fax Number : 425-235-8796
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/04/2006
Last Update Date : 07/08/2007

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Directions to “ MRS. SYDNEY CLARICE JENKINS PHARMACY TECHNICIAN” Practice Location

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