Jermaine Gerard Tiller in Spanish Fort - Pharmacist

Jermaine Gerard Tiller - NPI 1972562197

Jermaine Gerard Tiller is a Pharmacist in Spanish Fort, Alabama. Jermaine Gerard Tiller practices all healthcare services and medical treatments related to Pharmacist. The NPI Number for Jermaine Gerard Tiller is 1972562197. The last update date is 2011-06-30.

Jermaine Gerard Tiller's current location address is 12390 Cambron Trl, Spanish Fort, Alabama. You can contact this provider via phone number 5047224522. The mailing address for Jermaine Gerard Tiller is 12390 Cambron Trl, Spanish Fort, Alabama. To know further, please read the information below!

Provider Profile Detail

Provider Name Jermaine Gerard Tiller
Address 12390 Cambron Trl, Spanish Fort, Alabama
Phone Number 5047224522
Fax Number
Sole Proprietor Y
Credentials PHARMD

NPI Number Detail

NPI Number 1972562197
Provider Enumeration Date 2006-03-18
Last Updated Date 2011-06-30

Provider Mailing Address Detail

Address 12390 Cambron Trl
City Spanish Fort
State Alabama (AL)
Post Code 365278744
Phone Number 5047224522
Fax Number

Provider's Primary Taxonomy Detail

Speciality Pharmacist
Taxonomy 183500000X
Licence No 15106
Definition:
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or m

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FAQs about Jermaine Gerard Tiller

What is the unique 10-digit identification code issued to Jermaine Gerard Tiller by the Centers for Medicare & Medicaid Services?

The Jermaine Gerard Tiller has been assigned the NPI (National Provider Identifier) 1972562197 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please provide the complete physical location address of Jermaine Gerard Tiller?

The Jermaine Gerard Tiller is physically situated at 12390 Cambron Trl, in the city of Spanish Fort, state of AL, with the postal code 365278744.

What is Jermaine Gerard Tiller's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Jermaine Gerard Tiller's specialized field of practice is Pharmacist, and the corresponding taxonomy code that categorizes this area of specialization is 183500000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1972562197 to Jermaine Gerard Tiller?

The Centers for Medicare & Medicaid Services originally issued the 1972562197 to Jermaine Gerard Tiller on 2006-03-18.

As of what date were the Jermaine Gerard Tiller's details last updated?

The information pertaining to the Jermaine Gerard Tiller, including its address, specialty, and other details, was most recently updated on 2011-06-30.

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