Lisa M Gardner is a Pharmacist in Flippin, Arkansas. Lisa M Gardner practices all healthcare services and medical treatments related to Pharmacist. The NPI Number for Lisa M Gardner is 1063406833. The last update date is 2022-02-02.
Lisa M Gardner's current location address is Po Box 1390, Flippin, Arkansas. You can contact this provider via phone number 8704937367. The mailing address for Lisa M Gardner is Po Box 1390, Flippin, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lisa M Gardner |
|---|---|
| Address | Po Box 1390, Flippin, Arkansas |
| Phone Number | 8704937367 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PHARMD |
NPI Number Detail
| NPI Number | 1063406833 |
|---|---|
| Provider Enumeration Date | 2005-09-07 |
| Last Updated Date | 2022-02-02 |
Provider Mailing Address Detail
| Address | Po Box 1390 |
|---|---|
| City | Flippin |
| State | Arkansas (AR) |
| Post Code | 726341390 |
| Phone Number | 8704937367 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacist |
|---|---|
| Taxonomy | 183500000X |
| Licence No | 8467 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| PD08467 | AR | AR STATE BOARD OF PHARMACY |
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What is the Lisa M Gardner's unique identification number?
The Lisa M Gardner has been assigned the NPI (National Provider Identifier) Number 1063406833 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Lisa M Gardner located?
The Lisa M Gardner is located at Po Box 1390, Flippin, AR 726341390.
What is Lisa M Gardner's area of expertise and its corresponding taxonomy classification?
The Lisa M Gardner's field of specialization is Pharmacist, and it falls under the taxonomy code 183500000X, which categorizes healthcare providers based on their areas of practice.
When was the Lisa M Gardner's 1063406833 issued?
The Lisa M Gardner's 1063406833 was issued on 2005-09-07.
When was the information related to Lisa M Gardner most recently updated or refreshed?
The details pertaining to the Lisa M Gardner, including its address, specialty, and other relevant information, were last updated or refreshed on 2022-02-02.