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NPI Code Detail

MEDICARE: KRISTINE MARIE BLANKSMA RPH

MEDICARE: KRISTINE MARIE BLANKSMA 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
1183500000XPharmacistPH00015039WA

General Provider Information

NPI Number : 1689949414
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTINE MARIE BLANKSMA RPH
Provider Business Mailing Address
First Line : 3668 DIANNA WAY
Second Line :
City : WENATCHEE
State : WA
Zip : 98801-9117
Country : US
Telephone Number : 509-670-4244
Fax Number :
Provider Business Practice Location Address
First Line : 11 GRANT RD
Second Line :
City : E WENATCHEE
State : WA
Zip : 98802-5328
Country : US
Telephone Number : 509-881-2833
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/12/2012
Last Update Date : 03/12/2012

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Directions to “ KRISTINE MARIE BLANKSMA RPH” Practice Location

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