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NPI Code Detail

MEDICARE: JO SEAN HERNANDEZ IGNACO PHARMD

MEDICARE:   JO SEAN HERNANDEZ IGNACO  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
1183500000XPharmacistIR61332918WA

General Provider Information

NPI Number : 1730044561
Entity Type Code : Individual
Provider Name (Legal Business Name) : JO SEAN HERNANDEZ IGNACO PHARMD
Provider Business Mailing Address
First Line : 618 S MERIDIAN
Second Line :
City : PUYALLUP
State : WA
Zip : 98371-5999
Country : US
Telephone Number : 253-848-2011
Fax Number : 253-848-3119
Provider Business Practice Location Address
First Line : 618 S MERIDIAN
Second Line :
City : PUYALLUP
State : WA
Zip : 98371-5999
Country : US
Telephone Number : 253-848-2011
Fax Number : 253-848-3119
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/23/2025
Last Update Date : 12/23/2025

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Directions to “ JO SEAN HERNANDEZ IGNACO PHARMD” Practice Location

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