Glen Lewis Ezaki is a Pharmacist in Chicago, Illinois. Glen Lewis Ezaki practices all healthcare services and medical treatments related to Pharmacist. The NPI Number for Glen Lewis Ezaki is 1477658078. The last update date is 2007-07-08.
Glen Lewis Ezaki's current location address is 155 N Harbor Dr, Chicago, Illinois. You can contact this provider via phone number 3125697109 and fax number 3125698028. The mailing address for Glen Lewis Ezaki is 155 N Harbor Dr, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Glen Lewis Ezaki |
|---|---|
| Address | 155 N Harbor Dr, Chicago, Illinois |
| Phone Number | 3125697109 |
| Fax Number | 3125698028 |
| Sole Proprietor | N |
| Credentials | RPH |
NPI Number Detail
| NPI Number | 1477658078 |
|---|---|
| Provider Enumeration Date | 2006-09-14 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 155 N Harbor Dr |
|---|---|
| City | Chicago |
| State | Illinois (IL) |
| Post Code | 606017364 |
| Phone Number | 3125697109 |
| Fax Number | 3125698028 |
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 Glen Lewis Ezaki by the Centers for Medicare & Medicaid Services?
The Glen Lewis Ezaki has been issued the NPI (National Provider Identifier) 1477658078. This 10-digit code 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 Glen Lewis Ezaki?
The Glen Lewis Ezaki is situated at 155 N Harbor Dr, in the city of Chicago, state of IL, with the zip code 606017364.
What is Glen Lewis Ezaki's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Glen Lewis Ezaki's specialized field of practice is Pharmacist, and the corresponding taxonomy code that categorizes this area of specialization is 183500000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1477658078 to Glen Lewis Ezaki?
The Centers for Medicare & Medicaid Services originally issued the 1477658078 to Glen Lewis Ezaki on 2006-09-14.
When was the information related to Glen Lewis Ezaki most recently updated or refreshed?
The details pertaining to the Glen Lewis Ezaki, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.