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NPI Code Detail

MEDICARE: JENNIFER K NEWCOMER RPH

MEDICARE:   JENNIFER K NEWCOMER  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
1183500000XPharmacistPH60089233WA
2183500000XPharmacistRPH-13554OR

General Provider Information

NPI Number : 1750681474
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER K NEWCOMER RPH
Provider Business Mailing Address
First Line : 326 S STILLAGUAMISH AVE
Second Line :
City : ARLINGTON
State : WA
Zip : 98223-1652
Country : US
Telephone Number : 360-572-5454
Fax Number : 360-572-5455
Provider Business Practice Location Address
First Line : 326 S STILLAGUAMISH AVE
Second Line :
City : ARLINGTON
State : WA
Zip : 98223-1652
Country : US
Telephone Number : 360-572-5454
Fax Number : 360-572-5455
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/27/2010
Last Update Date : 01/13/2017

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Directions to “ JENNIFER K NEWCOMER RPH” Practice Location

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