Jack Shawn Houghtaling in San Rafael - Pharmacist
Jack Shawn Houghtaling - NPI 1225010705
Jack Shawn Houghtaling is a Pharmacist in San Rafael, California. Jack Shawn Houghtaling practices all healthcare services and medical treatments related to Pharmacist. The NPI Number for Jack Shawn Houghtaling is 1225010705. The last update date is 2007-07-08.
Jack Shawn Houghtaling's current location address is 830 3rd St, San Rafael, California. You can contact this provider via phone number 4154559919. The mailing address for Jack Shawn Houghtaling is 830 3rd St, San Rafael, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jack Shawn Houghtaling |
|---|---|
| Address | 830 3rd St, San Rafael, California |
| Phone Number | 4154559919 |
| Fax Number | |
| Sole Proprietor | X |
| Credentials | PHARM.D. |
NPI Number Detail
| NPI Number | 1225010705 |
|---|---|
| Provider Enumeration Date | 2005-11-18 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 830 3rd St |
|---|---|
| City | San Rafael |
| State | California (CA) |
| Post Code | 949013302 |
| Phone Number | 4154559919 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacist |
|---|---|
| Taxonomy | 183500000X |
| Licence No | 54643 |
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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 Jack Shawn Houghtaling's unique identification number?
The Jack Shawn Houghtaling has been assigned the NPI (National Provider Identifier) Number 1225010705 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Jack Shawn Houghtaling located?
The Jack Shawn Houghtaling is located at 830 3Rd St, San Rafael, CA 949013302.
What is the area of specialization for Jack Shawn Houghtaling, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Jack Shawn Houghtaling is Pharmacist, and the corresponding taxonomy code that categorizes this area of expertise is 183500000X.
When did Jack Shawn Houghtaling receive its 1225010705 assignment?
The Jack Shawn Houghtaling was assigned its 1225010705 on 2005-11-18, which is the date when this unique identifier was issued to the organization.
As of what date were the details related to Jack Shawn Houghtaling most recently updated or revised?
The information pertaining to Jack Shawn Houghtaling, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.