Bopha H Sayavong is a Pharmacist in Marion, Illinois. Bopha H Sayavong practices all healthcare services and medical treatments related to Pharmacist. The NPI Number for Bopha H Sayavong is 1790887511. The last update date is 2007-07-08.
Bopha H Sayavong's current location address is 2401 W Main St, Marion, Illinois. You can contact this provider via phone number 6189985804 and fax number 6189934188. The mailing address for Bopha H Sayavong is 2401 W Main St, Marion, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bopha H Sayavong |
|---|---|
| Address | 2401 W Main St, Marion, Illinois |
| Phone Number | 6189985804 |
| Fax Number | 6189934188 |
| Sole Proprietor | Y |
| Credentials | RPH |
NPI Number Detail
| NPI Number | 1790887511 |
|---|---|
| Provider Enumeration Date | 2006-09-02 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2401 W Main St |
|---|---|
| City | Marion |
| State | Illinois (IL) |
| Post Code | 629591188 |
| Phone Number | 6189985804 |
| Fax Number | 6189934188 |
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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Post Comment/ Review Below
What is the unique identification code assigned to Bopha H Sayavong by the Centers for Medicare & Medicaid Services?
The Bopha H Sayavong has been issued the NPI (National Provider Identifier) 1790887511. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Bopha H Sayavong is physically located?
The Bopha H Sayavong is situated at the following address: 2401 W Main St, Marion, IL 629591188.
What is Bopha H Sayavong's area of expertise and its corresponding taxonomy classification?
The Bopha H Sayavong'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 Bopha H Sayavong receive its 1790887511?
The Bopha H Sayavong was issued its 1790887511 on 2006-09-02, which is the date when the organization was assigned this unique identifier.
As of what date was the information regarding Bopha H Sayavong, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Bopha H Sayavong, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.