Carissa A Bull is a Pharmacist in Moline, Illinois. Carissa A Bull practices all healthcare services and medical treatments related to Pharmacist. The NPI Number for Carissa A Bull is 1548389828. The last update date is 2007-07-08.
Carissa A Bull's current location address is 4218 Avenue Of The Cities, Moline, Illinois. You can contact this provider via phone number 3097644373 and fax number 3097644593. The mailing address for Carissa A Bull is 4218 Avenue Of The Cities, Moline, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Carissa A Bull |
|---|---|
| Address | 4218 Avenue Of The Cities, Moline, Illinois |
| Phone Number | 3097644373 |
| Fax Number | 3097644593 |
| Sole Proprietor | N |
| Credentials | PHARM.D. |
NPI Number Detail
| NPI Number | 1548389828 |
|---|---|
| Provider Enumeration Date | 2007-03-28 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 4218 Avenue Of The Cities |
|---|---|
| City | Moline |
| State | Illinois (IL) |
| Post Code | 612654544 |
| Phone Number | 3097644373 |
| Fax Number | 3097644593 |
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 Carissa A Bull's 1548389828?
The Carissa A Bull's NPI (National Provider Identifier) Number is 1548389828. 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 Carissa A Bull?
The Carissa A Bull is situated at 4218 Avenue Of The Cities, in the city of Moline, state of IL, with the zip code 612654544.
What is the Carissa A Bull's area of specialization and corresponding taxonomy classification?
The Carissa A Bull's specialty field is Pharmacist, and it falls under the taxonomy code 183500000X, which categorizes healthcare providers based on their specialties.
On what date was the 1548389828 assigned to Carissa A Bull?
The Carissa A Bull was issued its 1548389828 on 2007-03-28, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the Carissa A Bull's information last updated?
The Carissa A Bull's information was last updated on 2007-07-08.
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