Mary Therese Pearson in Portola - Pharmacist
Mary Therese Pearson - NPI 1629194345
Mary Therese Pearson is a Pharmacist in Portola, California. Mary Therese Pearson practices all healthcare services and medical treatments related to Pharmacist. The NPI Number for Mary Therese Pearson is 1629194345. The last update date is 2007-07-08.
Mary Therese Pearson's current location address is Po Box 2435, Portola, California. You can contact this provider via phone number 5308320523 and fax number 5302831410. The mailing address for Mary Therese Pearson is Po Box 2435, Portola, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary Therese Pearson |
|---|---|
| Address | Po Box 2435, Portola, California |
| Phone Number | 5308320523 |
| Fax Number | 5302831410 |
| Sole Proprietor | Y |
| Credentials | R. PH |
NPI Number Detail
| NPI Number | 1629194345 |
|---|---|
| Provider Enumeration Date | 2007-03-22 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | Po Box 2435 |
|---|---|
| City | Portola |
| State | California (CA) |
| Post Code | 961222435 |
| Phone Number | 5308320523 |
| Fax Number | 5302831410 |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacist |
|---|---|
| Taxonomy | 183500000X |
| Licence No | RPH47093 |
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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 |
|---|---|---|---|
| 9698 | NV | NEVADA STATE LICENSE | |
| RPH47093 | CA | CA STATE LICENSE |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Mary Therese Pearson by the Centers for Medicare & Medicaid Services?
The Mary Therese Pearson has been assigned the NPI (National Provider Identifier) 1629194345 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Mary Therese Pearson's facilities are situated?
The facilities of Mary Therese Pearson are physically located at the following address: Po Box 2435, Portola, CA, 961222435.
What is Mary Therese Pearson's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Mary Therese Pearson's specialized field of practice is Pharmacist, and the corresponding taxonomy code that categorizes this area of specialization is 183500000X.
On what date did the Mary Therese Pearson receive the assignment of its 1629194345 from the Centers for Medicare & Medicaid Services?
The Mary Therese Pearson was issued its 1629194345 by the Centers for Medicare & Medicaid Services on 2007-03-22.
When was the information regarding Mary Therese Pearson, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Mary Therese Pearson, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.