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NPI Code Detail

MEDICARE: MRS. CAROL ANN ROBERTSON RPH

MEDICARE: MRS. CAROL ANN ROBERTSON 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
1183500000XPharmacistPH00009630WA

General Provider Information

NPI Number : 1821038175
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. CAROL ANN ROBERTSON RPH
Provider Business Mailing Address
First Line : 9800 4TH AVE NE
Second Line :
City : SEATTLE
State : WA
Zip : 98115-2152
Country : US
Telephone Number : 206-302-1290
Fax Number : 206-302-1263
Provider Business Practice Location Address
First Line : 9800 4TH AVE NE
Second Line :
City : SEATTLE
State : WA
Zip : 98115-2152
Country : US
Telephone Number : 206-302-1290
Fax Number : 206-302-1263
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/07/2006
Last Update Date : 07/08/2007

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Directions to “ MRS. CAROL ANN ROBERTSON RPH” Practice Location

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