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NPI Code Detail

MEDICARE: MR. ANDREW WARDEN ZACHEIS RPH

MEDICARE: MR. ANDREW WARDEN ZACHEIS 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
1183500000XPharmacistPH00019914WA

General Provider Information

NPI Number : 1780931980
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. ANDREW WARDEN ZACHEIS RPH
Provider Business Mailing Address
First Line : 1100 N MERIDIAN
Second Line :
City : PUYALLUP
State : WA
Zip : 98371-4403
Country : US
Telephone Number : 253-840-8183
Fax Number : 253-840-8177
Provider Business Practice Location Address
First Line : 1100 N MERIDIAN
Second Line :
City : PUYALLUP
State : WA
Zip : 98371-4403
Country : US
Telephone Number : 253-840-8183
Fax Number : 253-840-8177
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/07/2012
Last Update Date : 08/15/2012

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