Amanda Marie Rust in Travis Afb - Pharmacist
Amanda Marie Rust - NPI 1639331499
Amanda Marie Rust is a Pharmacist in Travis Afb, California. Amanda Marie Rust practices all healthcare services and medical treatments related to Pharmacist. The NPI Number for Amanda Marie Rust is 1639331499. The last update date is 2020-12-30.
Amanda Marie Rust's current location address is 101 Bodin Cir, Travis Afb, California. You can contact this provider via phone number 7074233459. The mailing address for Amanda Marie Rust is 101 Bodin Cir, Travis Afb, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Amanda Marie Rust |
|---|---|
| Address | 101 Bodin Cir, Travis Afb, California |
| Phone Number | 7074233459 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PHARMD |
NPI Number Detail
| NPI Number | 1639331499 |
|---|---|
| Provider Enumeration Date | 2008-07-01 |
| Last Updated Date | 2020-12-30 |
Provider Mailing Address Detail
| Address | 101 Bodin Cir |
|---|---|
| City | Travis Afb |
| State | California (CA) |
| Post Code | 945351809 |
| Phone Number | 7074233459 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacist |
|---|---|
| Taxonomy | 183500000X |
| Licence No | 13420 |
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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 Amanda Marie Rust's 1639331499?
The Amanda Marie Rust's NPI (National Provider Identifier) Number is 1639331499. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Amanda Marie Rust's physical address?
The Amanda Marie Rust is physically located at 101 Bodin Cir, in the city of Travis Afb, CA, with the postal code 945351809.
What is Amanda Marie Rust's specialized field of practice, and what is the corresponding taxonomy classification code?
The Amanda Marie Rust's area of specialization is Pharmacist, and the corresponding taxonomy code that categorizes this field of practice is 183500000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1639331499 to Amanda Marie Rust?
The Centers for Medicare & Medicaid Services originally issued the 1639331499 to Amanda Marie Rust on 2008-07-01.
When was the Amanda Marie Rust's information last updated?
The Amanda Marie Rust's information was last updated on 2020-12-30.