Jacob Timothy Vanvleck in Plummer - Pharmacist
Jacob Timothy Vanvleck - NPI 1669589933
Jacob Timothy Vanvleck is a Pharmacist in Plummer, Idaho. Jacob Timothy Vanvleck practices all healthcare services and medical treatments related to Pharmacist. The NPI Number for Jacob Timothy Vanvleck is 1669589933. The last update date is 2019-03-15.
Jacob Timothy Vanvleck's current location address is Po Box 388, Plummer, Idaho. You can contact this provider via phone number 2086851931 and fax number 2086855511. The mailing address for Jacob Timothy Vanvleck is Po Box 388, Plummer, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jacob Timothy Vanvleck |
|---|---|
| Address | Po Box 388, Plummer, Idaho |
| Phone Number | 2086851931 |
| Fax Number | 2086855511 |
| Sole Proprietor | N |
| Credentials | PHARMD |
NPI Number Detail
| NPI Number | 1669589933 |
|---|---|
| Provider Enumeration Date | 2006-08-24 |
| Last Updated Date | 2019-03-15 |
Provider Mailing Address Detail
| Address | Po Box 388 |
|---|---|
| City | Plummer |
| State | Idaho (ID) |
| Post Code | 838510388 |
| Phone Number | 2086851931 |
| Fax Number | 2086855511 |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacist |
|---|---|
| Taxonomy | 183500000X |
| Licence No | P6000 |
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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 Jacob Timothy Vanvleck's 1669589933?
The Jacob Timothy Vanvleck's NPI (National Provider Identifier) Number is 1669589933. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Jacob Timothy Vanvleck?
The Jacob Timothy Vanvleck is situated at Po Box 388, in the city of Plummer, state of ID, with the zip code 838510388.
What is the Jacob Timothy Vanvleck's specialty and taxonomy code?
The Jacob Timothy Vanvleck's specialty is Pharmacist, and the corresponding taxonomy code is 183500000X.
On what date was the 1669589933 assigned to Jacob Timothy Vanvleck?
The Jacob Timothy Vanvleck was issued its 1669589933 on 2006-08-24, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Jacob Timothy Vanvleck most recently updated or revised?
The information pertaining to Jacob Timothy Vanvleck, including its address, specialty, and other relevant details, was last updated or revised on 2019-03-15.