MEDICARE: ANNE DANAHER

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
1	183700000X	Pharmacy Technician	42924	WA

General Provider Information

NPI Number	:	1659358216
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANNE DANAHER

Provider Business Mailing Address
First Line	:	17034 122ND AVE SE
Second Line	:
City	:	RENTON
State	:	WA
Zip	:	98058-6051
Country	:	US
Telephone Number	:	425-255-7953
Fax Number	:

Provider Business Practice Location Address
First Line	:	16940 116TH AVE SE
Second Line	:
City	:	RENTON
State	:	WA
Zip	:	98058-5952
Country	:	US
Telephone Number	:	425-226-2901
Fax Number	:	425-235-9080

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/26/2005
Last Update Date	:	07/08/2007

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Directions to “ ANNE DANAHER ” Practice Location

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