John Roland Waters in Jekyll Island - Pharmacist
John Roland Waters - NPI 1245340041
John Roland Waters is a Pharmacist in Jekyll Island, Georgia. John Roland Waters practices all healthcare services and medical treatments related to Pharmacist. The NPI Number for John Roland Waters is 1245340041. The last update date is 2007-07-08.
John Roland Waters's current location address is 624 Old Plantation Rd, Jekyll Island, Georgia. You can contact this provider via phone number 9126353188. The mailing address for John Roland Waters is 624 Old Plantation Rd, Jekyll Island, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John Roland Waters |
|---|---|
| Address | 624 Old Plantation Rd, Jekyll Island, Georgia |
| Phone Number | 9126353188 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | RPH |
NPI Number Detail
| NPI Number | 1245340041 |
|---|---|
| Provider Enumeration Date | 2006-08-30 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 624 Old Plantation Rd |
|---|---|
| City | Jekyll Island |
| State | Georgia (GA) |
| Post Code | 315270724 |
| Phone Number | 9126353188 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacist |
|---|---|
| Taxonomy | 183500000X |
| Licence No | 9593 |
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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 |
|---|---|---|---|
| 9593 | GA | PHARMACIST |
Post Comment/ Review Below
What is the unique provider identifier assigned to John Roland Waters?
The John Roland Waters has been issued the NPI (National Provider Identifier) 1245340041 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical location address where John Roland Waters's facilities are situated?
The facilities of John Roland Waters are physically located at the following address: 624 Old Plantation Rd, Jekyll Island, GA, 315270724.
What is John Roland Waters's area of expertise and its corresponding taxonomy classification?
The John Roland Waters's field of specialization is Pharmacist, and it falls under the taxonomy code 183500000X, which categorizes healthcare providers based on their areas of practice.
When did the John Roland Waters receive its 1245340041?
The John Roland Waters was issued its 1245340041 on 2006-08-30, which is the date when the organization was assigned this unique identifier.
As of what date were the details related to John Roland Waters most recently updated or revised?
The information pertaining to John Roland Waters, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.