Bradley S Deegan in Erlanger - Pharmacist

Bradley S Deegan - NPI 1528119856

Bradley S Deegan is a Pharmacist in Erlanger, Kentucky. Bradley S Deegan practices all healthcare services and medical treatments related to Pharmacist. The NPI Number for Bradley S Deegan is 1528119856. The last update date is 2007-07-08.

Bradley S Deegan's current location address is 3392 Woodlyn Hills Dr, Erlanger, Kentucky. You can contact this provider via phone number 8594267764 and fax number 5134755269. The mailing address for Bradley S Deegan is 3392 Woodlyn Hills Dr, Erlanger, Kentucky. To know further, please read the information below!

Provider Profile Detail

Provider Name Bradley S Deegan
Address 3392 Woodlyn Hills Dr, Erlanger, Kentucky
Phone Number 8594267764
Fax Number 5134755269
Sole Proprietor Y
Credentials PHARMD

NPI Number Detail

NPI Number 1528119856
Provider Enumeration Date 2007-01-15
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 3392 Woodlyn Hills Dr
City Erlanger
State Kentucky (KY)
Post Code 410182600
Phone Number 8594267764
Fax Number 5134755269

Provider's Primary Taxonomy Detail

Speciality Pharmacist
Taxonomy 183500000X
Licence No 03-1-24778
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
12193 KY KY PHARMACIST LICENSE #
03-1-24778 OH OHIO PHARMACIST LICENSE #

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FAQs about Bradley S Deegan

What is the unique 10-digit identifier code assigned to Bradley S Deegan by the Centers for Medicare & Medicaid Services?

The Bradley S Deegan has been issued the NPI (National Provider Identifier) 1528119856 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please provide the complete street address where Bradley S Deegan is physically located?

The Bradley S Deegan is physically situated at the following address: 3392 Woodlyn Hills Dr, Erlanger, KY, 410182600.

What is the area of specialization for Bradley S Deegan, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Bradley S Deegan is Pharmacist, and the corresponding taxonomy code that categorizes this area of expertise is 183500000X.

When did Bradley S Deegan receive its 1528119856 assignment?

The Bradley S Deegan was assigned its 1528119856 on 2007-01-15, which is the date when this unique identifier was issued to the organization.

As of what date were the details pertaining to Bradley S Deegan last refreshed?

The information related to the Bradley S Deegan, including its address, specialty, and other relevant details, was last updated on 2007-07-08.

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