Michael Blair Bourquin in Jacksonville - Pharmacist
Michael Blair Bourquin - NPI 1679591721
Michael Blair Bourquin is a Pharmacist in Jacksonville, Florida. Michael Blair Bourquin practices all healthcare services and medical treatments related to Pharmacist. The NPI Number for Michael Blair Bourquin is 1679591721. The last update date is 2007-07-08.
Michael Blair Bourquin's current location address is 961 W Tennessee Trce, Jacksonville, Florida. You can contact this provider via phone number 9047773363 and fax number 9047775971. The mailing address for Michael Blair Bourquin is 961 W Tennessee Trce, Jacksonville, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michael Blair Bourquin |
|---|---|
| Address | 961 W Tennessee Trce, Jacksonville, Florida |
| Phone Number | 9047773363 |
| Fax Number | 9047775971 |
| Sole Proprietor | N |
| Credentials | RPH |
NPI Number Detail
| NPI Number | 1679591721 |
|---|---|
| Provider Enumeration Date | 2006-07-17 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 961 W Tennessee Trce |
|---|---|
| City | Jacksonville |
| State | Florida (FL) |
| Post Code | 322591940 |
| Phone Number | 9047773363 |
| Fax Number | 9047775971 |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacist |
|---|---|
| Taxonomy | 183500000X |
| Licence No | PS 37477 |
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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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Post Comment/ Review Below
What is the unique provider identifier assigned to Michael Blair Bourquin?
The Michael Blair Bourquin has been issued the NPI (National Provider Identifier) 1679591721 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete physical address where Michael Blair Bourquin is located?
The Michael Blair Bourquin is situated at the following address: 961 W Tennessee Trce, Jacksonville, FL, 322591940.
What is the area of specialization for Michael Blair Bourquin, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Michael Blair Bourquin is Pharmacist, and the corresponding taxonomy code that categorizes this area of expertise is 183500000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1679591721 to Michael Blair Bourquin?
The Centers for Medicare & Medicaid Services assigned the 1679591721 to Michael Blair Bourquin on 2006-07-17.
When was the information related to Michael Blair Bourquin most recently updated or refreshed?
The details pertaining to the Michael Blair Bourquin, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.