Bonita Jacque is a Pharmacist in Big Rapids, Michigan. Bonita Jacque practices all healthcare services and medical treatments related to Pharmacist. The NPI Number for Bonita Jacque is 1336289719. The last update date is 2007-07-08.
Bonita Jacque's current location address is 1250 Perry Ave, Big Rapids, Michigan. You can contact this provider via phone number 2317965252. The mailing address for Bonita Jacque is 1250 Perry Ave, Big Rapids, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bonita Jacque |
|---|---|
| Address | 1250 Perry Ave, Big Rapids, Michigan |
| Phone Number | 2317965252 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | RPH |
NPI Number Detail
| NPI Number | 1336289719 |
|---|---|
| Provider Enumeration Date | 2007-02-07 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1250 Perry Ave |
|---|---|
| City | Big Rapids |
| State | Michigan (MI) |
| Post Code | 493072115 |
| Phone Number | 2317965252 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacist |
|---|---|
| Taxonomy | 183500000X |
| Licence No | 5302023883 |
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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 Bonita Jacque's unique identification number?
The Bonita Jacque has been assigned the NPI (National Provider Identifier) Number 1336289719 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Bonita Jacque located?
The Bonita Jacque is located at 1250 Perry Ave, Big Rapids, MI 493072115.
What is the area of specialization for Bonita Jacque, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Bonita Jacque is Pharmacist, and the corresponding taxonomy code that categorizes this area of expertise is 183500000X.
On what date was the 1336289719 assigned to Bonita Jacque?
The Bonita Jacque was issued its 1336289719 on 2007-02-07, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Bonita Jacque most recently updated or refreshed?
The details pertaining to the Bonita Jacque, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.
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