Walter Jerome Prevost in Cerritos - Pharmacist
Walter Jerome Prevost - NPI 1629035621
Walter Jerome Prevost is a Pharmacist in Cerritos, California. Walter Jerome Prevost practices all healthcare services and medical treatments related to Pharmacist. The NPI Number for Walter Jerome Prevost is 1629035621. The last update date is 2007-07-08.
Walter Jerome Prevost's current location address is 16709 Amberwood Way, Cerritos, California. You can contact this provider via phone number 3235643218 and fax number 3235644064. The mailing address for Walter Jerome Prevost is 16709 Amberwood Way, Cerritos, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Walter Jerome Prevost |
|---|---|
| Address | 16709 Amberwood Way, Cerritos, California |
| Phone Number | 3235643218 |
| Fax Number | 3235644064 |
| Sole Proprietor | N |
| Credentials | PHARM.D. |
NPI Number Detail
| NPI Number | 1629035621 |
|---|---|
| Provider Enumeration Date | 2006-04-26 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 16709 Amberwood Way |
|---|---|
| City | Cerritos |
| State | California (CA) |
| Post Code | 907031190 |
| Phone Number | 3235643218 |
| Fax Number | 3235644064 |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacist |
|---|---|
| Taxonomy | 183500000X |
| Licence No | 25903 |
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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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Post Comment/ Review Below
What is the unique identifier code issued to Walter Jerome Prevost by the Centers for Medicare & Medicaid Services (CMS)?
The Walter Jerome Prevost has been assigned the NPI (National Provider Identifier) 1629035621. 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 Walter Jerome Prevost is located?
The Walter Jerome Prevost is situated at the following address: 16709 Amberwood Way, Cerritos, CA, 907031190.
What is the Walter Jerome Prevost's specialty and taxonomy code?
The Walter Jerome Prevost's specialty is Pharmacist, and the corresponding taxonomy code is 183500000X.
On what date was the 1629035621 assigned to Walter Jerome Prevost?
The Walter Jerome Prevost was issued its 1629035621 on 2006-04-26, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Walter Jerome Prevost last refreshed?
The information related to the Walter Jerome Prevost, including its address, specialty, and other relevant details, was last updated on 2007-07-08.