Andrea Jean Southall in Alsip - Pharmacist
Andrea Jean Southall - NPI 1215119052
Andrea Jean Southall is a Pharmacist in Alsip, Illinois. Andrea Jean Southall practices all healthcare services and medical treatments related to Pharmacist. The NPI Number for Andrea Jean Southall is 1215119052. The last update date is 2007-12-04.
Andrea Jean Southall's current location address is 12003 S Crawford, Alsip, Illinois. You can contact this provider via phone number 7083892725. The mailing address for Andrea Jean Southall is 12003 S Crawford, Alsip, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Andrea Jean Southall |
|---|---|
| Address | 12003 S Crawford, Alsip, Illinois |
| Phone Number | 7083892725 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | RPH,CDM |
NPI Number Detail
| NPI Number | 1215119052 |
|---|---|
| Provider Enumeration Date | 2007-12-04 |
| Last Updated Date | 2007-12-04 |
Provider Mailing Address Detail
| Address | 12003 S Crawford |
|---|---|
| City | Alsip |
| State | Illinois (IL) |
| Post Code | 60803 |
| Phone Number | 7083892725 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacist |
|---|---|
| Taxonomy | 183500000X |
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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 unique 10-digit identification code issued to Andrea Jean Southall by the Centers for Medicare & Medicaid Services?
The Andrea Jean Southall has been assigned the NPI (National Provider Identifier) 1215119052 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Where is the Andrea Jean Southall located?
The Andrea Jean Southall is located at 12003 S Crawford, Alsip, IL 60803.
What is Andrea Jean Southall's area of expertise and its corresponding taxonomy classification?
The Andrea Jean Southall'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 was the Andrea Jean Southall's 1215119052 issued?
The Andrea Jean Southall's 1215119052 was issued on 2007-12-04.
As of what date were the Andrea Jean Southall's details last updated?
The information pertaining to the Andrea Jean Southall, including its address, specialty, and other details, was most recently updated on 2007-12-04.