Patrice Micki Feddes in Springfield - Pharmacist
Patrice Micki Feddes - NPI 1154413961
Patrice Micki Feddes is a Pharmacist in Springfield, Georgia. Patrice Micki Feddes practices all healthcare services and medical treatments related to Pharmacist. The NPI Number for Patrice Micki Feddes is 1154413961. The last update date is 2007-07-08.
Patrice Micki Feddes's current location address is 106 Breckenridge Dr, Springfield, Georgia. You can contact this provider via phone number 9127546162. The mailing address for Patrice Micki Feddes is 106 Breckenridge Dr, Springfield, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Patrice Micki Feddes |
|---|---|
| Address | 106 Breckenridge Dr, Springfield, Georgia |
| Phone Number | 9127546162 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1154413961 |
|---|---|
| Provider Enumeration Date | 2006-09-29 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 106 Breckenridge Dr |
|---|---|
| City | Springfield |
| State | Georgia (GA) |
| Post Code | 313294226 |
| Phone Number | 9127546162 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacist |
|---|---|
| Taxonomy | 183500000X |
| Licence No | 16920 |
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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 |
|---|---|---|---|
| 16920 | GA | ST PHARMACY LICENSE |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Patrice Micki Feddes by the Centers for Medicare & Medicaid Services?
The Patrice Micki Feddes has been issued the NPI (National Provider Identifier) 1154413961, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Patrice Micki Feddes?
The Patrice Micki Feddes is situated at 106 Breckenridge Dr, in the city of Springfield, state of GA, with the zip code 313294226.
What is Patrice Micki Feddes's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Patrice Micki Feddes's specialized field of practice is Pharmacist, and the corresponding taxonomy code that categorizes this area of specialization is 183500000X.
When did Patrice Micki Feddes receive its 1154413961 assignment?
The Patrice Micki Feddes was assigned its 1154413961 on 2006-09-29, which is the date when this unique identifier was issued to the organization.
As of what date were the details related to Patrice Micki Feddes most recently updated or revised?
The information pertaining to Patrice Micki Feddes, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
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