Gene H. Petteway in High Sprngs - Pharmacist

Gene H. Petteway - NPI 1013119940

Gene H. Petteway is a Pharmacist in High Sprngs, Florida. Gene H. Petteway practices all healthcare services and medical treatments related to Pharmacist. The NPI Number for Gene H. Petteway is 1013119940. The last update date is 2007-07-08.

Gene H. Petteway's current location address is 1080 N W Santa Fe Blvd, High Sprngs, Florida. You can contact this provider via phone number 3864544259 and fax number 3864547264. The mailing address for Gene H. Petteway is 1080 N W Santa Fe Blvd, High Sprngs, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Gene H. Petteway
Address 1080 N W Santa Fe Blvd, High Sprngs, Florida
Phone Number 3864544259
Fax Number 3864547264
Sole Proprietor N
Credentials RPH

NPI Number Detail

NPI Number 1013119940
Provider Enumeration Date 2007-06-04
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1080 N W Santa Fe Blvd
City High Sprngs
State Florida (FL)
Post Code 32643
Phone Number 3864544259
Fax Number 3864547264

Provider's Primary Taxonomy Detail

Speciality Pharmacist
Taxonomy 183500000X
Licence No PS12313
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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FAQs about Gene H. Petteway

What is the Gene H. Petteway's unique identification number?

The Gene H. Petteway has been assigned the NPI (National Provider Identifier) Number 1013119940 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please provide the complete street address where Gene H. Petteway is physically located?

The Gene H. Petteway is physically situated at the following address: 1080 N W Santa Fe Blvd, High Sprngs, FL, 32643.

What is the Gene H. Petteway's specialty and taxonomy code?

The Gene H. Petteway's specialty is Pharmacist, and the corresponding taxonomy code is 183500000X.

On what date did the Gene H. Petteway receive its 1013119940 assignment from the Centers for Medicare & Medicaid Services?

The Gene H. Petteway was assigned its 1013119940 by the Centers for Medicare & Medicaid Services on 2007-06-04.

As of what date were the details related to Gene H. Petteway most recently updated or revised?

The information pertaining to Gene H. Petteway, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.

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