| Doctor Name: | TARA ANNE JERMASEK |
| NPI Number: | 1942283783 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | VA00044253 |
| Business Practice Address: | 6602 64th St Ne Marysville, WA - 982704834 |
| Business Phone Number: | 3606585218 |
| Business Fax Number: | 3606585549 |
| Mailing Address: | 27131 102nd Ave Nw, STANWOOD |
| State: | WA |
| Postal Code: | 982928009 |
| Phone Number: | 3606585218 |
| Fax Number: | 3606585549 |
| NPI Enumeration Date: | 11/25/2005 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 183700000X |
| License Number: | VA00044253 |
| 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. |