Derek J Speten is a Pharmacist in Scott Afb, Illinois. Derek J Speten practices all healthcare services and medical treatments related to Pharmacist. The NPI Number for Derek J Speten is 1407838956. The last update date is 2007-07-08.
Derek J Speten's current location address is 310 W Losey St, Scott Afb, Illinois. You can contact this provider via phone number 6182567345 and fax number 6182567121. The mailing address for Derek J Speten is 310 W Losey St, Scott Afb, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Derek J Speten |
|---|---|
| Address | 310 W Losey St, Scott Afb, Illinois |
| Phone Number | 6182567345 |
| Fax Number | 6182567121 |
| Sole Proprietor | N |
| Credentials | MS, PHARM |
NPI Number Detail
| NPI Number | 1407838956 |
|---|---|
| Provider Enumeration Date | 2005-11-18 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 310 W Losey St |
|---|---|
| City | Scott Afb |
| State | Illinois (IL) |
| Post Code | 622255250 |
| Phone Number | 6182567345 |
| Fax Number | 6182567121 |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacist |
|---|---|
| Taxonomy | 183500000X |
| Licence No | 2005004197 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2005004197 | MO | PHARMACY LICENSE |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Derek J Speten by the Centers for Medicare & Medicaid Services?
The Derek J Speten has been assigned the NPI (National Provider Identifier) 1407838956 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical location address where Derek J Speten's facilities are situated?
The facilities of Derek J Speten are physically located at the following address: 310 W Losey St, Scott Afb, IL, 622255250.
What is Derek J Speten's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Derek J Speten is Pharmacist, and the taxonomy code that classifies this field of practice is 183500000X.
On what date was the 1407838956 assigned to Derek J Speten?
The Derek J Speten was issued its 1407838956 on 2005-11-18, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Derek J Speten, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Derek J Speten, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.