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NPI Code Detail

MEDICARE: DR. STEVEN MICHAEL WASIL PHARMD

MEDICARE: DR. STEVEN MICHAEL WASIL 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
1183500000XPharmacistP7158ID

General Provider Information

NPI Number : 1811477466
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. STEVEN MICHAEL WASIL PHARMD
Provider Business Mailing Address
First Line : 18007 E DAYSTAR RD
Second Line :
City : SPOKANE VALLEY
State : WA
Zip : 99016-5178
Country : US
Telephone Number : 330-360-9060
Fax Number :
Provider Business Practice Location Address
First Line : 15727 E BROADWAY AVE
Second Line :
City : SPOKANE VALLEY
State : WA
Zip : 99037-9544
Country : US
Telephone Number : 479-866-7601
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/14/2018
Last Update Date : 08/14/2018

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