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NPI Code Detail

MEDICARE: SUZANNE MICHELLE MULVEY PHARMD

MEDICARE:   SUZANNE MICHELLE MULVEY  PHARMD
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
1183500000XPharmacistPH00051860WA

General Provider Information

NPI Number : 1689750341
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUZANNE MICHELLE MULVEY PHARMD
Provider Business Mailing Address
First Line : 611 N IRON BRIDGE WAY
Second Line :
City : SPOKANE
State : WA
Zip : 99202-4932
Country : US
Telephone Number : 509-444-8888
Fax Number : 509-444-7806
Provider Business Practice Location Address
First Line : 5620 S REGAL ST STE 11
Second Line :
City : SPOKANE
State : WA
Zip : 99223-7957
Country : US
Telephone Number : 509-444-8200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/27/2006
Last Update Date : 10/06/2021

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Directions to “ SUZANNE MICHELLE MULVEY PHARMD” Practice Location

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