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NPI Code Detail

MEDICARE: JOSHUA RYAN AGBUNAG PHARMD

MEDICARE:   JOSHUA RYAN AGBUNAG  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
1183500000XPharmacist60777969WA

General Provider Information

NPI Number : 1952819989
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOSHUA RYAN AGBUNAG PHARMD
Provider Business Mailing Address
First Line : 1343 S MONROE ST APT 1
Second Line :
City : MOSES LAKE
State : WA
Zip : 98837-3094
Country : US
Telephone Number : 843-696-1827
Fax Number :
Provider Business Practice Location Address
First Line : 500 S PIONEER WAY
Second Line :
City : MOSES LAKE
State : WA
Zip : 98837-1812
Country : US
Telephone Number : 509-765-1219
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/11/2018
Last Update Date : 01/11/2018

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Directions to “ JOSHUA RYAN AGBUNAG PHARMD” Practice Location

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