Michael J Wall is a Pharmacist in Maywood, Illinois. Michael J Wall practices all healthcare services and medical treatments related to Pharmacist. The NPI Number for Michael J Wall is 1538101548. The last update date is 2007-07-08.
Michael J Wall's current location address is 2160 S 1st Ave, Maywood, Illinois. You can contact this provider via phone number 7082169335 and fax number 7082167867. The mailing address for Michael J Wall is 2160 S 1st Ave, Maywood, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michael J Wall |
|---|---|
| Address | 2160 S 1st Ave, Maywood, Illinois |
| Phone Number | 7082169335 |
| Fax Number | 7082167867 |
| Sole Proprietor | X |
| Credentials | PHARMD |
NPI Number Detail
| NPI Number | 1538101548 |
|---|---|
| Provider Enumeration Date | 2006-06-12 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2160 S 1st Ave |
|---|---|
| City | Maywood |
| State | Illinois (IL) |
| Post Code | 601533328 |
| Phone Number | 7082169335 |
| Fax Number | 7082167867 |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacist |
|---|---|
| Taxonomy | 183500000X |
| Licence No | 5302033564 |
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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 Michael J Wall's 1538101548?
The Michael J Wall's NPI (National Provider Identifier) Number is 1538101548. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Michael J Wall?
The Michael J Wall is physically situated at 2160 S 1St Ave, in the city of Maywood, state of IL, with the postal code 601533328.
What is Michael J Wall's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Michael J Wall'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 issue the 1538101548 to Michael J Wall?
The Michael J Wall received its 1538101548 assignment from the Centers for Medicare & Medicaid Services on 2006-06-12.
As of what date was the information regarding Michael J Wall, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Michael J Wall, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.
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