Michael Stanley Ponder in Oakland - Pharmacist

Michael Stanley Ponder - NPI 1154453447

Michael Stanley Ponder is a Pharmacist in Oakland, California. Michael Stanley Ponder practices all healthcare services and medical treatments related to Pharmacist. The NPI Number for Michael Stanley Ponder is 1154453447. The last update date is 2007-07-08.

Michael Stanley Ponder's current location address is 7200 Bancroft Ave, Oakland, California. You can contact this provider via phone number 5106387323 and fax number 5104302860. The mailing address for Michael Stanley Ponder is 7200 Bancroft Ave, Oakland, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Michael Stanley Ponder
Address 7200 Bancroft Ave, Oakland, California
Phone Number 5106387323
Fax Number 5104302860
Sole Proprietor N
Credentials PHARM.D.

NPI Number Detail

NPI Number 1154453447
Provider Enumeration Date 2007-03-12
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 7200 Bancroft Ave
City Oakland
State California (CA)
Post Code 946052403
Phone Number 5106387323
Fax Number 5104302860

Provider's Primary Taxonomy Detail

Speciality Pharmacist
Taxonomy 183500000X
Licence No RPH38499
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
RPH38499 CA STATE PHARMACY LICENSE

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FAQs about Michael Stanley Ponder

What is the unique provider identifier assigned to Michael Stanley Ponder?

The Michael Stanley Ponder has been issued the NPI (National Provider Identifier) 1154453447 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please provide the complete physical location address of Michael Stanley Ponder?

The Michael Stanley Ponder is physically situated at 7200 Bancroft Ave, in the city of Oakland, state of CA, with the postal code 946052403.

What is Michael Stanley Ponder's specialized field of practice, and what is the corresponding taxonomy classification code?

The Michael Stanley Ponder's area of specialization is Pharmacist, and the corresponding taxonomy code that categorizes this field of practice is 183500000X.

When did the Michael Stanley Ponder receive its 1154453447?

The Michael Stanley Ponder was issued its 1154453447 on 2007-03-12, which is the date when the organization was assigned this unique identifier.

As of what date was the information pertaining to Michael Stanley Ponder, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Michael Stanley Ponder, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.

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