Alyssa W Sanford is a Pharmacist in Starke, Florida. Alyssa W Sanford practices all healthcare services and medical treatments related to Pharmacist. The NPI Number for Alyssa W Sanford is 1063620094. The last update date is 2008-02-08.
Alyssa W Sanford's current location address is 658 Ne 171st St, Starke, Florida. You can contact this provider via phone number 9049660078 and fax number 3524782059. The mailing address for Alyssa W Sanford is 658 Ne 171st St, Starke, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Alyssa W Sanford |
|---|---|
| Address | 658 Ne 171st St, Starke, Florida |
| Phone Number | 9049660078 |
| Fax Number | 3524782059 |
| Sole Proprietor | N |
| Credentials | R.PH. |
NPI Number Detail
| NPI Number | 1063620094 |
|---|---|
| Provider Enumeration Date | 2007-05-21 |
| Last Updated Date | 2008-02-08 |
Provider Mailing Address Detail
| Address | 658 Ne 171st St |
|---|---|
| City | Starke |
| State | Florida (FL) |
| Post Code | 320915723 |
| Phone Number | 9049660078 |
| Fax Number | 3524782059 |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacist |
|---|---|
| Taxonomy | 183500000X |
| Licence No | PS32098 |
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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 |
|---|---|---|---|
| PS32098 | FL | STATE PHARMACIST LICENCE |
Post Comment/ Review Below
What is the unique identifier code issued to Alyssa W Sanford by the Centers for Medicare & Medicaid Services?
The Alyssa W Sanford has been assigned the NPI (National Provider Identifier) 1063620094. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Alyssa W Sanford is physically located?
The Alyssa W Sanford is physically situated at the following address: 658 Ne 171St St, Starke, FL, 320915723.
What is Alyssa W Sanford's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Alyssa W Sanford'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 Alyssa W Sanford receive its 1063620094 assignment from the Centers for Medicare & Medicaid Services?
The Alyssa W Sanford was assigned its 1063620094 by the Centers for Medicare & Medicaid Services on 2007-05-21.
When was the information regarding Alyssa W Sanford, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Alyssa W Sanford, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2008-02-08.
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