Jayne Wallace Dishman in New Iberia - Pharmacist

Jayne Wallace Dishman - NPI 1174516272

Jayne Wallace Dishman is a Pharmacist in New Iberia, Louisiana. Jayne Wallace Dishman practices all healthcare services and medical treatments related to Pharmacist. The NPI Number for Jayne Wallace Dishman is 1174516272. The last update date is 2007-07-08.

Jayne Wallace Dishman's current location address is 607 Oak Manor Dr, New Iberia, Louisiana. You can contact this provider via phone number 3373699783 and fax number 3373650563. The mailing address for Jayne Wallace Dishman is 607 Oak Manor Dr, New Iberia, Louisiana. To know further, please read the information below!

Provider Profile Detail

Provider Name Jayne Wallace Dishman
Address 607 Oak Manor Dr, New Iberia, Louisiana
Phone Number 3373699783
Fax Number 3373650563
Sole Proprietor X
Credentials RPH

NPI Number Detail

NPI Number 1174516272
Provider Enumeration Date 2005-08-24
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 607 Oak Manor Dr
City New Iberia
State Louisiana (LA)
Post Code 705632223
Phone Number 3373699783
Fax Number 3373650563

Provider's Primary Taxonomy Detail

Speciality Pharmacist
Taxonomy 183500000X
Licence No 15565
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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FAQs about Jayne Wallace Dishman

What is the unique identifier code issued to Jayne Wallace Dishman by the Centers for Medicare & Medicaid Services (CMS)?

The Jayne Wallace Dishman has been assigned the NPI (National Provider Identifier) 1174516272. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you share the physical location details of Jayne Wallace Dishman?

The Jayne Wallace Dishman is situated at 607 Oak Manor Dr, in the city of New Iberia, state of LA, with the zip code 705632223.

What is Jayne Wallace Dishman's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Jayne Wallace Dishman is Pharmacist, and the taxonomy code that classifies this field of practice is 183500000X.

On what date did the Jayne Wallace Dishman receive its 1174516272 assignment from the Centers for Medicare & Medicaid Services?

The Jayne Wallace Dishman was assigned its 1174516272 by the Centers for Medicare & Medicaid Services on 2005-08-24.

As of what date was the information pertaining to Jayne Wallace Dishman, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Jayne Wallace Dishman, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.

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