Tina Detillier is a Pharmacist in Raceland, Louisiana. Tina Detillier practices all healthcare services and medical treatments related to Pharmacist. The NPI Number for Tina Detillier is 1174651335. The last update date is 2007-07-08.
Tina Detillier's current location address is 108 Acadia Dr, Raceland, Louisiana. You can contact this provider via phone number 9855375255. The mailing address for Tina Detillier is 108 Acadia Dr, Raceland, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tina Detillier |
|---|---|
| Address | 108 Acadia Dr, Raceland, Louisiana |
| Phone Number | 9855375255 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1174651335 |
|---|---|
| Provider Enumeration Date | 2007-03-01 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 108 Acadia Dr |
|---|---|
| City | Raceland |
| State | Louisiana (LA) |
| Post Code | 703940108 |
| Phone Number | 9855375255 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacist |
|---|---|
| Taxonomy | 183500000X |
| Licence No | 14742 |
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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 Tina Detillier's 1174651335?
The Tina Detillier's NPI (National Provider Identifier) Number is 1174651335. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Tina Detillier?
The Tina Detillier is physically situated at 108 Acadia Dr, in the city of Raceland, state of LA, with the postal code 703940108.
What is Tina Detillier'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 Tina Detillier is Pharmacist, and the taxonomy classification code that categorizes this area of expertise is 183500000X.
On what date did the Tina Detillier receive the assignment of its 1174651335 from the Centers for Medicare & Medicaid Services?
The Tina Detillier was issued its 1174651335 by the Centers for Medicare & Medicaid Services on 2007-03-01.
When was the information pertaining to Tina Detillier most recently updated or revised?
The details related to Tina Detillier, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.