Gervasis Manuel is a Pharmacist in South Bend, Indiana. Gervasis Manuel practices all healthcare services and medical treatments related to Pharmacist. The NPI Number for Gervasis Manuel is 1235262395. The last update date is 2011-01-26.
Gervasis Manuel's current location address is 2845 W Cleveland Rd, South Bend, Indiana. You can contact this provider via phone number 5742771538. The mailing address for Gervasis Manuel is 2845 W Cleveland Rd, South Bend, Indiana. To know further, please read the information below!
Provider Profile Detail
Provider Name | Gervasis Manuel |
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Address | 2845 W Cleveland Rd, South Bend, Indiana |
Phone Number | 5742771538 |
Fax Number | |
Sole Proprietor | N |
Credentials | PHARM.D |
NPI Number Detail
NPI Number | 1235262395 |
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Provider Enumeration Date | 2007-03-14 |
Last Updated Date | 2011-01-26 |
Provider Mailing Address Detail
Address | 2845 W Cleveland Rd |
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City | South Bend |
State | Indiana (IN) |
Post Code | 466286188 |
Phone Number | 5742771538 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Pharmacist |
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Taxonomy | 183500000X |
Licence No | 5302035864 |
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 |
---|---|---|---|
5302035864 | MI | LICENSE | |
26022347A | IN | LICENCE | |
51291744 | IL | LICENSE |
Post Comment/ Review Below
What is the Gervasis Manuel's unique identification number?
The Gervasis Manuel has been assigned the NPI (National Provider Identifier) Number 1235262395 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Gervasis Manuel's physical address?
The Gervasis Manuel is physically located at 2845 W Cleveland Rd, in the city of South Bend, IN, with the postal code 466286188.
What is the area of specialization for Gervasis Manuel, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Gervasis Manuel is Pharmacist, and the corresponding taxonomy code that categorizes this area of expertise is 183500000X.
On what date did the Gervasis Manuel receive the assignment of its 1235262395 from the Centers for Medicare & Medicaid Services?
The Gervasis Manuel was issued its 1235262395 by the Centers for Medicare & Medicaid Services on 2007-03-14.
When was the information pertaining to Gervasis Manuel most recently updated or revised?
The details related to Gervasis Manuel, including its address, specialty, and other relevant information, were last updated or revised on 2011-01-26.