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NPI Code Detail

MEDICARE: PAM DENTON

MEDICARE:   PAM  DENTON
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
1183700000XPharmacy TechnicianVA00057024

General Provider Information

NPI Number : 1811923238
Entity Type Code : Individual
Provider Name (Legal Business Name) : PAM DENTON
Provider Business Mailing Address
First Line : 12023 100TH AVE NE
Second Line :
City : KIRKLAND
State : WA
Zip : 98034-3811
Country : US
Telephone Number : 425-231-6228
Fax Number :
Provider Business Practice Location Address
First Line : 17788 147TH ST SE
Second Line :
City : MONROE
State : WA
Zip : 98272-1030
Country : US
Telephone Number : 360-794-7351
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/25/2006
Last Update Date : 07/08/2007

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Directions to “ PAM DENTON ” Practice Location

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