Gregory Joseph Imdorf in Glendale - Pharmacist
Gregory Joseph Imdorf - NPI 1518021864
Gregory Joseph Imdorf is a Pharmacist in Glendale, Arizona. Gregory Joseph Imdorf practices all healthcare services and medical treatments related to Pharmacist. The NPI Number for Gregory Joseph Imdorf is 1518021864. The last update date is 2007-07-08.
Gregory Joseph Imdorf's current location address is 3935 W Angela Dr, Glendale, Arizona. You can contact this provider via phone number 4806270605. The mailing address for Gregory Joseph Imdorf is 3935 W Angela Dr, Glendale, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gregory Joseph Imdorf |
|---|---|
| Address | 3935 W Angela Dr, Glendale, Arizona |
| Phone Number | 4806270605 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PHARMD |
NPI Number Detail
| NPI Number | 1518021864 |
|---|---|
| Provider Enumeration Date | 2006-12-21 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3935 W Angela Dr |
|---|---|
| City | Glendale |
| State | Arizona (AZ) |
| Post Code | 853083012 |
| Phone Number | 4806270605 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacist |
|---|---|
| Taxonomy | 183500000X |
| Licence No | 12203 |
|
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 |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 12203 | AZ | STATE PHARMACIST LICENSE |
Post Comment/ Review Below
What is the Gregory Joseph Imdorf's unique identification number?
The Gregory Joseph Imdorf has been assigned the NPI (National Provider Identifier) Number 1518021864 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you kindly provide the complete physical address where Gregory Joseph Imdorf's facilities are geographically located?
The facilities of Gregory Joseph Imdorf are physically situated at the following location: 3935 W Angela Dr, Glendale, AZ, 853083012.
What is Gregory Joseph Imdorf's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Gregory Joseph Imdorf is Pharmacist, and the taxonomy classification code that categorizes this area of expertise is 183500000X.
On what date did the Gregory Joseph Imdorf receive the assignment of its 1518021864 from the Centers for Medicare & Medicaid Services?
The Gregory Joseph Imdorf was issued its 1518021864 by the Centers for Medicare & Medicaid Services on 2006-12-21.
When was the information regarding Gregory Joseph Imdorf most recently updated?
The details pertaining to the Gregory Joseph Imdorf, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.