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NPI Code Detail

MEDICARE: MICHAEL GEORGE CAP RPH

MEDICARE: MICHAEL GEORGE CAP 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
1183500000XPharmacistPH00046151WA
2183500000XPharmacistRP038909LPA

General Provider Information

NPI Number : 1881691871
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAEL GEORGE CAP RPH
Provider Business Mailing Address
First Line : 1959 NE PACIFIC ST
Second Line : MAILBOX 356015
City : SEATTLE
State : WA
Zip : 98195-0001
Country : US
Telephone Number : 206-598-6060
Fax Number :
Provider Business Practice Location Address
First Line : 825 EASTLAKE AVE E # G5900
Second Line : BOX 19023
City : SEATTLE
State : WA
Zip : 98109-4405
Country : US
Telephone Number : 206-288-1381
Fax Number : 206-288-1387
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/05/2005
Last Update Date : 01/15/2009

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