Health Services Agency Outpatient Pharmacy in Modesto - Pharmacist
Health Services Agency Outpatient Pharmacy - NPI 1821205162
Health Services Agency Outpatient Pharmacy is a Pharmacist in Modesto, California. Health Services Agency Outpatient Pharmacy practices all healthcare services and medical treatments related to Pharmacist. The NPI Number for Health Services Agency Outpatient Pharmacy is 1821205162. The last update date is 2007-09-04.
Health Services Agency Outpatient Pharmacy's current location address is 830 Scenic Dr, Modesto, California. You can contact this provider via phone number 2095585697 and fax number 2095585631. The mailing address for Health Services Agency Outpatient Pharmacy is 830 Scenic Dr, Modesto, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Health Services Agency Outpatient Pharmacy |
|---|---|
| Address | 830 Scenic Dr, Modesto, California |
| Phone Number | 2095585697 |
| Fax Number | 2095585631 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | HSA DIRECT |
|---|---|
| Authorized Official Name | Lee Mary Ann |
| Telephone Number | 2095587000 |
NPI Number Detail
| NPI Number | 1821205162 |
|---|---|
| Provider Enumeration Date | 2007-05-17 |
| Last Updated Date | 2007-09-04 |
Provider Mailing Address Detail
| Address | 830 Scenic Dr |
|---|---|
| City | Modesto |
| State | California (CA) |
| Post Code | 953506131 |
| Phone Number | 2095585697 |
| Fax Number | 2095585631 |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacist |
|---|---|
| Taxonomy | 183500000X |
| Licence No | PHE20138 |
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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 |
|---|---|---|---|
| 513730 | CA | NABP NUMBER |
Post Comment/ Review Below
What is the unique identifier code issued to Health Services Agency Outpatient Pharmacy by the Centers for Medicare & Medicaid Services?
The Health Services Agency Outpatient Pharmacy has been assigned the NPI (National Provider Identifier) 1821205162. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Health Services Agency Outpatient Pharmacy is geographically located?
The Health Services Agency Outpatient Pharmacy is physically situated at the following location: 830 Scenic Dr, Modesto, CA, 953506131.
What is the Health Services Agency Outpatient Pharmacy's specialty and taxonomy code?
The Health Services Agency Outpatient Pharmacy's specialty is Pharmacist, and the corresponding taxonomy code is 183500000X.
When was the Health Services Agency Outpatient Pharmacy's 1821205162 issued?
The Health Services Agency Outpatient Pharmacy's 1821205162 was issued on 2007-05-17.
When was the information pertaining to Health Services Agency Outpatient Pharmacy most recently updated or revised?
The details related to Health Services Agency Outpatient Pharmacy, including its address, specialty, and other relevant information, were last updated or revised on 2007-09-04.