Melodie Goetz is a Pharmacist in Fort Wayne, Indiana. Melodie Goetz practices all healthcare services and medical treatments related to Pharmacist. The NPI Number for Melodie Goetz is 1083808612. The last update date is 2007-08-27.
Melodie Goetz's current location address is 2121 Lake Ave, Fort Wayne, Indiana. You can contact this provider via phone number 2604265431. The mailing address for Melodie Goetz is 2121 Lake Ave, Fort Wayne, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Melodie Goetz |
|---|---|
| Address | 2121 Lake Ave, Fort Wayne, Indiana |
| Phone Number | 2604265431 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1083808612 |
|---|---|
| Provider Enumeration Date | 2007-08-27 |
| Last Updated Date | 2007-08-27 |
Provider Mailing Address Detail
| Address | 2121 Lake Ave |
|---|---|
| City | Fort Wayne |
| State | Indiana (IN) |
| Post Code | 468055100 |
| Phone Number | 2604265431 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacist |
|---|---|
| Taxonomy | 183500000X |
| Licence No | 26015552A |
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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 provider identifier assigned to Melodie Goetz?
The Melodie Goetz has been issued the NPI (National Provider Identifier) 1083808612 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the Melodie Goetz located?
The Melodie Goetz is located at 2121 Lake Ave, Fort Wayne, IN 468055100.
What is Melodie Goetz'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 Melodie Goetz is Pharmacist, and the taxonomy classification code that categorizes this area of expertise is 183500000X.
On what date did the Melodie Goetz receive its 1083808612 assignment from the Centers for Medicare & Medicaid Services?
The Melodie Goetz was assigned its 1083808612 by the Centers for Medicare & Medicaid Services on 2007-08-27.
As of what date were the Melodie Goetz's details last updated?
The information pertaining to the Melodie Goetz, including its address, specialty, and other details, was most recently updated on 2007-08-27.
NPI Number: 1215930425
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