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NPI Code Detail

MEDICARE: DR. ELISA DANIELLE GUZMAN PHARMD

MEDICARE: DR. ELISA DANIELLE GUZMAN 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
1183500000XPharmacistPH61446459WA

General Provider Information

NPI Number : 1922787951
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ELISA DANIELLE GUZMAN PHARMD
Provider Business Mailing Address
First Line : 9209 CHARDONNAY DR
Second Line :
City : PASCO
State : WA
Zip : 99301-3311
Country : US
Telephone Number : 509-554-2552
Fax Number :
Provider Business Practice Location Address
First Line : 5506 ROAD 68
Second Line :
City : PASCO
State : WA
Zip : 99301-9627
Country : US
Telephone Number : 509-547-1789
Fax Number : 509-547-9263
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/17/2023
Last Update Date : 07/17/2023

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Directions to “ DR. ELISA DANIELLE GUZMAN PHARMD” Practice Location

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