Maynard David Brothersen in Davenport - Pharmacist
Maynard David Brothersen - NPI 1447398995
Maynard David Brothersen is a Pharmacist in Davenport, Iowa. Maynard David Brothersen practices all healthcare services and medical treatments related to Pharmacist. The NPI Number for Maynard David Brothersen is 1447398995. The last update date is 2007-07-08.
Maynard David Brothersen's current location address is 2660 E 53rd St, Davenport, Iowa. You can contact this provider via phone number 5633881887. The mailing address for Maynard David Brothersen is 2660 E 53rd St, Davenport, Iowa. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Maynard David Brothersen |
|---|---|
| Address | 2660 E 53rd St, Davenport, Iowa |
| Phone Number | 5633881887 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | RPH |
NPI Number Detail
| NPI Number | 1447398995 |
|---|---|
| Provider Enumeration Date | 2007-02-04 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2660 E 53rd St |
|---|---|
| City | Davenport |
| State | Iowa (IA) |
| Post Code | 5280738730 |
| Phone Number | 5633881887 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacist |
|---|---|
| Taxonomy | 183500000X |
| Licence No | 16463 |
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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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Post Comment/ Review Below
What is the unique 10-digit identification code issued to Maynard David Brothersen by the Centers for Medicare & Medicaid Services?
The Maynard David Brothersen has been assigned the NPI (National Provider Identifier) 1447398995 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 address where Maynard David Brothersen is geographically located?
The Maynard David Brothersen is physically situated at the following location: 2660 E 53Rd St, Davenport, IA, 5280738730.
What is the Maynard David Brothersen's specialty and taxonomy code?
The Maynard David Brothersen's specialty is Pharmacist, and the corresponding taxonomy code is 183500000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1447398995 to Maynard David Brothersen?
The Centers for Medicare & Medicaid Services originally issued the 1447398995 to Maynard David Brothersen on 2007-02-04.
As of what date was the information pertaining to Maynard David Brothersen, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Maynard David Brothersen, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.