MEDICARE: DR. PATRICIA A GERMAN 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
1	183500000X	Pharmacist	PH00021890	WA

General Provider Information

NPI Number	:	1871689570
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PATRICIA A GERMAN PHARMD

Provider Business Mailing Address
First Line	:	2941 QUEENSGATE DRIVE
Second Line	:	T-2314
City	:	RICHLAND
State	:	WA
Zip	:	99352
Country	:	US
Telephone Number	:	509-627-7501
Fax Number	:	509-627-7509

Provider Business Practice Location Address
First Line	:	2941 QUEENSGATE DRIVE
Second Line	:	T-2314
City	:	RICHLAND
State	:	WA
Zip	:	99352
Country	:	US
Telephone Number	:	509-627-7501
Fax Number	:	509-627-7509

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/04/2006
Last Update Date	:	06/04/2011

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