Jay Harvey Bormann in Fort Wayne - Pharmacist
Jay Harvey Bormann - NPI 1962620591
Jay Harvey Bormann is a Pharmacist in Fort Wayne, Indiana. Jay Harvey Bormann practices all healthcare services and medical treatments related to Pharmacist. The NPI Number for Jay Harvey Bormann is 1962620591. The last update date is 2007-07-08.
Jay Harvey Bormann's current location address is 6316 Drakes Bay Run, Fort Wayne, Indiana. You can contact this provider via phone number 2604862092 and fax number 2604853993. The mailing address for Jay Harvey Bormann is 6316 Drakes Bay Run, Fort Wayne, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jay Harvey Bormann |
|---|---|
| Address | 6316 Drakes Bay Run, Fort Wayne, Indiana |
| Phone Number | 2604862092 |
| Fax Number | 2604853993 |
| Sole Proprietor | N |
| Credentials | RPH. |
NPI Number Detail
| NPI Number | 1962620591 |
|---|---|
| Provider Enumeration Date | 2007-04-20 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 6316 Drakes Bay Run |
|---|---|
| City | Fort Wayne |
| State | Indiana (IN) |
| Post Code | 468359613 |
| Phone Number | 2604862092 |
| Fax Number | 2604853993 |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacist |
|---|---|
| Taxonomy | 183500000X |
| Licence No | 26016180A |
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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 Jay Harvey Bormann's unique identification number?
The Jay Harvey Bormann has been assigned the NPI (National Provider Identifier) Number 1962620591 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete physical location address of Jay Harvey Bormann?
The Jay Harvey Bormann is physically situated at 6316 Drakes Bay Run, in the city of Fort Wayne, state of IN, with the postal code 468359613.
What is Jay Harvey Bormann's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Jay Harvey Bormann is Pharmacist, and the taxonomy classification code that categorizes this area of expertise is 183500000X.
When was the Jay Harvey Bormann's 1962620591 issued?
The Jay Harvey Bormann's 1962620591 was issued on 2007-04-20.
As of what date were the details related to Jay Harvey Bormann most recently updated or revised?
The information pertaining to Jay Harvey Bormann, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
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