Provider Information for 1366638488
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RXGUY PS
Other Names:Doing Business As:SEATTLE MEDSOrganization Subpart: NO
NPI: 1366638488
Last Updated: 2017-02-28
Certification Date:
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Details
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NPI | 1366638488 | ||||||||||||
Enumeration Date | 2007-09-21 | ||||||||||||
NPI Type | NPI-2 Organization | ||||||||||||
Status | Active | ||||||||||||
Authorized Official Information | Name: DARREN AUGENSTEIN PHARM D Title: President Phone: 2063822087 | ||||||||||||
Mailing Address | 1305 MADISON ST SEATTLE, WA 98104-3507 United States Phone: 206-382-2087 | Fax:206-382-4342 | ||||||||||||
Primary Practice Address | 1305 MADISON ST SEATTLE, WA 98104-3507 United States Phone: 206-382-2087 | Fax:206-382-4342 | ||||||||||||
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