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NPI Code Detail

MEDICARE: DR. MARKPAUL SANTOS PHARM D.

MEDICARE: DR. MARKPAUL SANTOS PHARM D.
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
1183500000XPharmacistIR60632894WA

General Provider Information

NPI Number : 1891238747
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARKPAUL SANTOS PHARM D.
Provider Business Mailing Address
First Line : PO BOX 804
Second Line :
City : NEWPORT
State : WA
Zip : 99156-0804
Country : US
Telephone Number : 928-386-3461
Fax Number :
Provider Business Practice Location Address
First Line : 121 W WALNUT ST
Second Line :
City : NEWPORT
State : WA
Zip : 99156-9030
Country : US
Telephone Number : 509-447-3972
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/27/2016
Last Update Date : 11/27/2016

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Directions to “ DR. MARKPAUL SANTOS PHARM D.” Practice Location

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