William Braxton Sisco in Phoenix - Pharmacist

William Braxton Sisco - NPI 1861563991

William Braxton Sisco is a Pharmacist in Phoenix, Arizona. William Braxton Sisco practices all healthcare services and medical treatments related to Pharmacist. The NPI Number for William Braxton Sisco is 1861563991. The last update date is 2007-07-08.

William Braxton Sisco's current location address is 4212 N 16th St, Phoenix, Arizona. You can contact this provider via phone number 6022631511 and fax number 6022631619. The mailing address for William Braxton Sisco is 4212 N 16th St, Phoenix, Arizona. To know further, please read the information below!

Provider Profile Detail

Provider Name William Braxton Sisco
Address 4212 N 16th St, Phoenix, Arizona
Phone Number 6022631511
Fax Number 6022631619
Sole Proprietor N
Credentials PHARMACIST

NPI Number Detail

NPI Number 1861563991
Provider Enumeration Date 2006-11-12
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 4212 N 16th St
City Phoenix
State Arizona (AZ)
Post Code 850165319
Phone Number 6022631511
Fax Number 6022631619

Provider's Primary Taxonomy Detail

Speciality Pharmacist
Taxonomy 183500000X
Licence No 7580
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 William Braxton Sisco

What is the unique 10-digit identifier code assigned to William Braxton Sisco by the Centers for Medicare & Medicaid Services?

The William Braxton Sisco has been issued the NPI (National Provider Identifier) 1861563991 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please share the complete physical location address where William Braxton Sisco's facilities are situated?

The facilities of William Braxton Sisco are physically located at the following address: 4212 N 16Th St, Phoenix, AZ, 850165319.

What is William Braxton Sisco's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for William Braxton Sisco is Pharmacist, and the corresponding taxonomy classification code for this specialized field is 183500000X.

On what date did the William Braxton Sisco receive its 1861563991 assignment from the Centers for Medicare & Medicaid Services?

The William Braxton Sisco was assigned its 1861563991 by the Centers for Medicare & Medicaid Services on 2006-11-12.

As of what date was the information pertaining to William Braxton Sisco, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to William Braxton Sisco, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.

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