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NPI Code Detail

MEDICARE: MORSY EL SAMALUTY RPH

MEDICARE: MORSY EL SAMALUTY RPH
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
1183500000XPharmacistPH60812040WA

General Provider Information

NPI Number : 1669969366
Entity Type Code : Individual
Provider Name (Legal Business Name) : MORSY EL SAMALUTY RPH
Provider Business Mailing Address
First Line : 9523 NE 180TH ST APT A203
Second Line :
City : BOTHELL
State : WA
Zip : 98011-7901
Country : US
Telephone Number : 425-293-6204
Fax Number :
Provider Business Practice Location Address
First Line : 110 E 3RD ST
Second Line :
City : PORT ANGELES
State : WA
Zip : 98362-3010
Country : US
Telephone Number : 360-457-0599
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/18/2018
Last Update Date : 04/10/2019

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Directions to “ MORSY EL SAMALUTY RPH” Practice Location

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