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NPI Code Detail

MEDICARE: QUALITY FOOD CENTERS

MEDICARE: QUALITY FOOD CENTERS
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
1183500000XPharmacist00022371WA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1629324520
Entity Type Code : Organization
Provider Name (Legal Business Name) : QUALITY FOOD CENTERS
Provider Business Mailing Address
First Line : 990 E WASHINGTON ST
Second Line : SUITE B
City : SEQUIM
State : WA
Zip : 98382-3517
Country : US
Telephone Number : 360-683-1156
Fax Number : 360-683-8532
Provider Business Practice Location Address
First Line : 990 E WASHINGTON ST
Second Line : SUITE B
City : SEQUIM
State : WA
Zip : 98382-3517
Country : US
Telephone Number : 360-683-1156
Fax Number : 360-683-8532
Authorized Official
Title or Position : PHARMACY MANAGER
Name : RUTH B IREDALE
Credential : RPH
Telephone Number : 360-683-1156
Provider Enumeration Date : 07/28/2012
Last Update Date : 07/28/2012

Similar Medicare Providers

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Directions to “QUALITY FOOD CENTERS ” Practice Location

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