Doctor Name: | MRS. MARIA R. NEWSOM |
NPI Number: | 1124295621 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | VA00067023 |
Business Practice Address: | 22117 Se 237th St Maple Valley, WA - 980388533 |
Business Phone Number: | 4254321234 |
Business Fax Number: | |
Mailing Address: | 26802 166th Pl Se, COVINGTON |
State: | WA |
Postal Code: | 980425804 |
Phone Number: | 2536315357 |
Fax Number: | |
NPI Enumeration Date: | 05/13/2008 |
NPI Last Update Date: | 05/13/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 183700000X |
License Number: | VA00067023 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Pharmacy Service Providers |
Taxonomy Classification: | Pharmacy Technician |
Taxonomy Specialization: | |
Taxonomy Definition: | A person who works under the direct supervision of a licensed pharmacist and performs many pharmacy-related functions that do not require the professional judgment of a pharmacist. |