MEDICARE: NORMAN A MORALES

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
1	183700000X	Pharmacy Technician

General Provider Information

NPI Number	:	1750530390
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NORMAN A MORALES

Provider Business Mailing Address
First Line	:	3002 SOUTH 208TH STREET
Second Line	:	APT # I-4
City	:	SEATAC
State	:	WA
Zip	:	98198
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3002 S 208TH ST
Second Line	:	APT # I-4
City	:	SEATAC
State	:	WA
Zip	:	98198-5928
Country	:	US
Telephone Number	:	206-212-6931
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/18/2008
Last Update Date	:	09/18/2008

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Directions to “ NORMAN A MORALES ” Practice Location

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