Peter John Brozenec in Bloomington - Pharmacist
Peter John Brozenec - NPI 1497801823
Peter John Brozenec is a Pharmacist in Bloomington, Illinois. Peter John Brozenec practices all healthcare services and medical treatments related to Pharmacist. The NPI Number for Peter John Brozenec is 1497801823. The last update date is 2007-07-08.
Peter John Brozenec's current location address is 1505 Eastland Dr, Bloomington, Illinois. You can contact this provider via phone number 3096640505. The mailing address for Peter John Brozenec is 1505 Eastland Dr, Bloomington, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Peter John Brozenec |
|---|---|
| Address | 1505 Eastland Dr, Bloomington, Illinois |
| Phone Number | 3096640505 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | R.PH. |
NPI Number Detail
| NPI Number | 1497801823 |
|---|---|
| Provider Enumeration Date | 2007-01-26 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1505 Eastland Dr |
|---|---|
| City | Bloomington |
| State | Illinois (IL) |
| Post Code | 617013534 |
| Phone Number | 3096640505 |
| 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 identification code assigned to Peter John Brozenec by the Centers for Medicare & Medicaid Services?
The Peter John Brozenec has been issued the NPI (National Provider Identifier) 1497801823. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Peter John Brozenec's facilities are situated?
The facilities of Peter John Brozenec are physically located at the following address: 1505 Eastland Dr, Bloomington, IL, 617013534.
What is Peter John Brozenec's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Peter John Brozenec is Pharmacist, and the taxonomy code that classifies this field of practice is 183500000X.
On what date did Peter John Brozenec receive its 1497801823 assignment from the Centers for Medicare & Medicaid Services?
The Peter John Brozenec was assigned its 1497801823 on 2007-01-26, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Peter John Brozenec, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Peter John Brozenec, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.