Khalil Lynn Crouse in Lake Village - Pharmacist
Khalil Lynn Crouse - NPI 1962454868
Khalil Lynn Crouse is a Pharmacist in Lake Village, Arkansas. Khalil Lynn Crouse practices all healthcare services and medical treatments related to Pharmacist. The NPI Number for Khalil Lynn Crouse is 1962454868. The last update date is 2023-06-08.
Khalil Lynn Crouse's current location address is 526 S Lakeshore Dr, Lake Village, Arkansas. You can contact this provider via phone number 8702652821 and fax number 8702653538. The mailing address for Khalil Lynn Crouse is 526 S Lakeshore Dr, Lake Village, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Khalil Lynn Crouse |
|---|---|
| Address | 526 S Lakeshore Dr, Lake Village, Arkansas |
| Phone Number | 8702652821 |
| Fax Number | 8702653538 |
| Sole Proprietor | X |
| Credentials | PHARM.D. |
NPI Number Detail
| NPI Number | 1962454868 |
|---|---|
| Provider Enumeration Date | 2006-05-17 |
| Last Updated Date | 2023-06-08 |
Provider Mailing Address Detail
| Address | 526 S Lakeshore Dr |
|---|---|
| City | Lake Village |
| State | Arkansas (AR) |
| Post Code | 716531628 |
| Phone Number | 8702652821 |
| Fax Number | 8702653538 |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacist |
|---|---|
| Taxonomy | 183500000X |
| Licence No | 8476 |
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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 identifier code issued to Khalil Lynn Crouse by the Centers for Medicare & Medicaid Services (CMS)?
The Khalil Lynn Crouse has been assigned the NPI (National Provider Identifier) 1962454868. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete physical address where Khalil Lynn Crouse is located?
The Khalil Lynn Crouse is situated at the following address: 526 S Lakeshore Dr, Lake Village, AR, 716531628.
What is Khalil Lynn Crouse's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Khalil Lynn Crouse is Pharmacist, and the taxonomy code that classifies this field of practice is 183500000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1962454868 to Khalil Lynn Crouse?
The Khalil Lynn Crouse received its 1962454868 assignment from the Centers for Medicare & Medicaid Services on 2006-05-17.
As of what date were the Khalil Lynn Crouse's details last updated?
The information pertaining to the Khalil Lynn Crouse, including its address, specialty, and other details, was most recently updated on 2023-06-08.
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