Ikhlas R Putrus is a Pharmacist in Dearborn, Michigan. Ikhlas R Putrus practices all healthcare services and medical treatments related to Pharmacist. The NPI Number for Ikhlas R Putrus is 1720180672. The last update date is 2007-07-08.
Ikhlas R Putrus's current location address is 23100 Cherry Hill St, Dearborn, Michigan. You can contact this provider via phone number 3132745990 and fax number 3132741479. The mailing address for Ikhlas R Putrus is 23100 Cherry Hill St, Dearborn, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ikhlas R Putrus |
|---|---|
| Address | 23100 Cherry Hill St, Dearborn, Michigan |
| Phone Number | 3132745990 |
| Fax Number | 3132741479 |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1720180672 |
|---|---|
| Provider Enumeration Date | 2006-09-02 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 23100 Cherry Hill St |
|---|---|
| City | Dearborn |
| State | Michigan (MI) |
| Post Code | 481241493 |
| Phone Number | 3132745990 |
| Fax Number | 3132741479 |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacist |
|---|---|
| Taxonomy | 183500000X |
| Licence No | 5302025677 |
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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 Ikhlas R Putrus's unique identification number?
The Ikhlas R Putrus has been assigned the NPI (National Provider Identifier) Number 1720180672 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Ikhlas R Putrus's physical address?
The Ikhlas R Putrus is physically located at 23100 Cherry Hill St, in the city of Dearborn, MI, with the postal code 481241493.
What is the Ikhlas R Putrus's specialty and taxonomy code?
The Ikhlas R Putrus's specialty is Pharmacist, and the corresponding taxonomy code is 183500000X.
On what date was the 1720180672 assigned to Ikhlas R Putrus?
The Ikhlas R Putrus was issued its 1720180672 on 2006-09-02, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Ikhlas R Putrus most recently updated?
The details pertaining to the Ikhlas R Putrus, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.