Michael A Dietrich in Peoria - Pharmacist
Michael A Dietrich - NPI 1760607683
Michael A Dietrich is a Pharmacist in Peoria, Arizona. Michael A Dietrich practices all healthcare services and medical treatments related to Pharmacist. The NPI Number for Michael A Dietrich is 1760607683. The last update date is 2007-07-08.
Michael A Dietrich's current location address is 28405 N 68th Ave, Peoria, Arizona. You can contact this provider via phone number 6235723538 and fax number 6235723550. The mailing address for Michael A Dietrich is 28405 N 68th Ave, Peoria, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michael A Dietrich |
|---|---|
| Address | 28405 N 68th Ave, Peoria, Arizona |
| Phone Number | 6235723538 |
| Fax Number | 6235723550 |
| Sole Proprietor | Y |
| Credentials | PHARM.D., |
NPI Number Detail
| NPI Number | 1760607683 |
|---|---|
| Provider Enumeration Date | 2007-04-16 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 28405 N 68th Ave |
|---|---|
| City | Peoria |
| State | Arizona (AZ) |
| Post Code | 853836652 |
| Phone Number | 6235723538 |
| Fax Number | 6235723550 |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacist |
|---|---|
| Taxonomy | 183500000X |
| Licence No | 12485 |
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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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What is the unique 10-digit identifier code issued to Michael A Dietrich by the Centers for Medicare & Medicaid Services?
The Michael A Dietrich has been assigned the NPI (National Provider Identifier) 1760607683 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete address where Michael A Dietrich is physically located?
The Michael A Dietrich is situated at the following address: 28405 N 68Th Ave, Peoria, AZ 853836652.
What is Michael A Dietrich's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Michael A Dietrich'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 1760607683 to Michael A Dietrich?
The Centers for Medicare & Medicaid Services originally issued the 1760607683 to Michael A Dietrich on 2007-04-16.
As of what date were the details related to Michael A Dietrich most recently updated or revised?
The information pertaining to Michael A Dietrich, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
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