Heidi Rubach Kallivayalil in Jacksonville - Pharmacist
Heidi Rubach Kallivayalil - NPI 1699742726
Heidi Rubach Kallivayalil is a Pharmacist in Jacksonville, Florida. Heidi Rubach Kallivayalil practices all healthcare services and medical treatments related to Pharmacist. The NPI Number for Heidi Rubach Kallivayalil is 1699742726. The last update date is 2016-08-24.
Heidi Rubach Kallivayalil's current location address is 13033 Harborton Dr, Jacksonville, Florida. You can contact this provider via phone number 9048943213. The mailing address for Heidi Rubach Kallivayalil is 13033 Harborton Dr, Jacksonville, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Heidi Rubach Kallivayalil |
|---|---|
| Address | 13033 Harborton Dr, Jacksonville, Florida |
| Phone Number | 9048943213 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PHARM.D. |
NPI Number Detail
| NPI Number | 1699742726 |
|---|---|
| Provider Enumeration Date | 2006-03-07 |
| Last Updated Date | 2016-08-24 |
Provider Mailing Address Detail
| Address | 13033 Harborton Dr |
|---|---|
| City | Jacksonville |
| State | Florida (FL) |
| Post Code | 322248498 |
| Phone Number | 9048943213 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacist |
|---|---|
| Taxonomy | 183500000X |
| Licence No | PS40287 |
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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 unique identification code assigned to Heidi Rubach Kallivayalil by the Centers for Medicare & Medicaid Services?
The Heidi Rubach Kallivayalil has been issued the NPI (National Provider Identifier) 1699742726. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Heidi Rubach Kallivayalil?
The Heidi Rubach Kallivayalil is physically situated at 13033 Harborton Dr, in the city of Jacksonville, state of FL, with the postal code 322248498.
What is Heidi Rubach Kallivayalil's specialized field of practice, and what is the corresponding taxonomy classification code?
The Heidi Rubach Kallivayalil's area of specialization is Pharmacist, and the corresponding taxonomy code that categorizes this field of practice is 183500000X.
On what date did the Heidi Rubach Kallivayalil receive the assignment of its 1699742726 from the Centers for Medicare & Medicaid Services?
The Heidi Rubach Kallivayalil was issued its 1699742726 by the Centers for Medicare & Medicaid Services on 2006-03-07.
As of what date were the details related to Heidi Rubach Kallivayalil most recently updated or revised?
The information pertaining to Heidi Rubach Kallivayalil, including its address, specialty, and other relevant details, was last updated or revised on 2016-08-24.