Deb Gustafson is a Pharmacist in Spring Lake, Michigan. Deb Gustafson practices all healthcare services and medical treatments related to Pharmacist. The NPI Number for Deb Gustafson is 1093803041. The last update date is 2007-07-08.
Deb Gustafson's current location address is 19045 Walden Dr, Spring Lake, Michigan. You can contact this provider via phone number 6168427614. The mailing address for Deb Gustafson is 19045 Walden Dr, Spring Lake, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Deb Gustafson |
|---|---|
| Address | 19045 Walden Dr, Spring Lake, Michigan |
| Phone Number | 6168427614 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | RPH |
NPI Number Detail
| NPI Number | 1093803041 |
|---|---|
| Provider Enumeration Date | 2006-10-11 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 19045 Walden Dr |
|---|---|
| City | Spring Lake |
| State | Michigan (MI) |
| Post Code | 494561172 |
| Phone Number | 6168427614 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacist |
|---|---|
| Taxonomy | 183500000X |
| Licence No | 5302024218 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5302024218 | MI | RPH LICENSE |
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What is the unique provider identifier assigned to Deb Gustafson?
The Deb Gustafson has been issued the NPI (National Provider Identifier) 1093803041 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
What is the unique 10-digit identification code issued to Deb Gustafson by the Centers for Medicare & Medicaid Services?
The Deb Gustafson has been assigned the NPI (National Provider Identifier) 1093803041 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
What is Deb Gustafson's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Deb Gustafson is Pharmacist, and the taxonomy code that classifies this field of practice is 183500000X.
When did Deb Gustafson receive its 1093803041 assignment?
The Deb Gustafson was assigned its 1093803041 on 2006-10-11, which is the date when this unique identifier was issued to the organization.
As of what date were the details pertaining to Deb Gustafson last refreshed?
The information related to the Deb Gustafson, including its address, specialty, and other relevant details, was last updated on 2007-07-08.
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