Mike Stover is a Pharmacist in Pine Bluff, Arkansas. Mike Stover practices all healthcare services and medical treatments related to Pharmacist. The NPI Number for Mike Stover is 1609862879. The last update date is 2007-07-08.
Mike Stover's current location address is 3800 Camden Rd, Pine Bluff, Arkansas. You can contact this provider via phone number 8708791490 and fax number 8708791920. The mailing address for Mike Stover is 3800 Camden Rd, Pine Bluff, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mike Stover |
|---|---|
| Address | 3800 Camden Rd, Pine Bluff, Arkansas |
| Phone Number | 8708791490 |
| Fax Number | 8708791920 |
| Sole Proprietor | X |
| Credentials | PHARM.D |
NPI Number Detail
| NPI Number | 1609862879 |
|---|---|
| Provider Enumeration Date | 2005-09-23 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3800 Camden Rd |
|---|---|
| City | Pine Bluff |
| State | Arkansas (AR) |
| Post Code | 716038480 |
| Phone Number | 8708791490 |
| Fax Number | 8708791920 |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacist |
|---|---|
| Taxonomy | 183500000X |
| Licence No | 8219 |
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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 |
|---|---|---|---|
| 8219 | AR | PHARMACY LICENSE |
Post Comment/ Review Below
What is the Mike Stover's 1609862879?
The Mike Stover's NPI (National Provider Identifier) Number is 1609862879. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Mike Stover's physical address?
The Mike Stover is physically located at 3800 Camden Rd, in the city of Pine Bluff, AR, with the postal code 716038480.
What is Mike Stover'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 Mike Stover is Pharmacist, and the taxonomy classification code that categorizes this area of expertise is 183500000X.
On what date did Mike Stover receive its 1609862879 assignment from the Centers for Medicare & Medicaid Services?
The Mike Stover was assigned its 1609862879 on 2005-09-23, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Mike Stover most recently updated or refreshed?
The details pertaining to the Mike Stover, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.
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