Jennifer Rebecca Dykstra in Traverse City - Pharmacist

Jennifer Rebecca Dykstra - NPI 1720136955

Jennifer Rebecca Dykstra is a Pharmacist in Traverse City, Michigan. Jennifer Rebecca Dykstra practices all healthcare services and medical treatments related to Pharmacist. The NPI Number for Jennifer Rebecca Dykstra is 1720136955. The last update date is 2007-07-08.

Jennifer Rebecca Dykstra's current location address is 550 Munson Ave, Traverse City, Michigan. You can contact this provider via phone number 2319358730. The mailing address for Jennifer Rebecca Dykstra is 550 Munson Ave, Traverse City, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name Jennifer Rebecca Dykstra
Address 550 Munson Ave, Traverse City, Michigan
Phone Number 2319358730
Fax Number
Sole Proprietor N
Credentials PHARM.D.

NPI Number Detail

NPI Number 1720136955
Provider Enumeration Date 2007-01-05
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 550 Munson Ave
City Traverse City
State Michigan (MI)
Post Code 496863580
Phone Number 2319358730
Fax Number

Provider's Primary Taxonomy Detail

Speciality Pharmacist
Taxonomy 183500000X
Licence No 5302031831
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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FAQs about Jennifer Rebecca Dykstra

What is the unique identifier code issued to Jennifer Rebecca Dykstra by the Centers for Medicare & Medicaid Services (CMS)?

The Jennifer Rebecca Dykstra has been assigned the NPI (National Provider Identifier) 1720136955. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you provide the complete address where Jennifer Rebecca Dykstra is physically located?

The Jennifer Rebecca Dykstra is situated at the following address: 550 Munson Ave, Traverse City, MI 496863580.

What is Jennifer Rebecca Dykstra'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 Jennifer Rebecca Dykstra is Pharmacist, and the taxonomy classification code that categorizes this area of expertise is 183500000X.

On what date did Jennifer Rebecca Dykstra receive its 1720136955 assignment from the Centers for Medicare & Medicaid Services?

The Jennifer Rebecca Dykstra was assigned its 1720136955 on 2007-01-05, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information related to Jennifer Rebecca Dykstra most recently updated or refreshed?

The details pertaining to the Jennifer Rebecca Dykstra, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.

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