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NPI Code Detail

MEDICARE: WASEM'S INC.

MEDICARE: WASEM'S INC.
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
1332B00000XDurable Medical Equipment & Medical SuppliesWA
2332BC3200XCustomized Equipment (DME)022000985WA
3333600000XPharmacyCF00000917WA
43336L0003XLong Term Care Pharmacy
53336C0003XCommunity/Retail Pharmacy

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1689670465
Entity Type Code : Organization
Provider Name (Legal Business Name) : WASEM'S INC.
Provider Business Mailing Address
First Line : 800 6TH ST
Second Line :
City : CLARKSTON
State : WA
Zip : 99403-2013
Country : US
Telephone Number : 509-758-2565
Fax Number : 509-758-2151
Provider Business Practice Location Address
First Line : 800 6TH ST
Second Line :
City : CLARKSTON
State : WA
Zip : 99403-2013
Country : US
Telephone Number : 509-758-2565
Fax Number : 509-758-2151
Authorized Official
Title or Position : OWNER
Name : CYNTHIA JEAN WENDT
Credential : PHARM D
Telephone Number : 509-758-2565
Provider Enumeration Date : 06/24/2005
Last Update Date : 12/03/2021

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Directions to “WASEM'S INC. ” Practice Location

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