Clint M Dworshak in Minnetonka - Pharmacist
Clint M Dworshak - NPI 1053520916
Clint M Dworshak is a Pharmacist in Minnetonka, Minnesota. Clint M Dworshak practices all healthcare services and medical treatments related to Pharmacist. The NPI Number for Clint M Dworshak is 1053520916. The last update date is 2009-03-30.
Clint M Dworshak's current location address is 16908 Saddlewood Trl, Minnetonka, Minnesota. You can contact this provider via phone number 9529359227. The mailing address for Clint M Dworshak is 16908 Saddlewood Trl, Minnetonka, Minnesota. To know further, please read the information below!
Provider Profile Detail
Provider Name | Clint M Dworshak |
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Address | 16908 Saddlewood Trl, Minnetonka, Minnesota |
Phone Number | 9529359227 |
Fax Number | |
Sole Proprietor | N |
Credentials | PHARM.D. |
NPI Number Detail
NPI Number | 1053520916 |
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Provider Enumeration Date | 2007-05-21 |
Last Updated Date | 2009-03-30 |
Provider Mailing Address Detail
Address | 16908 Saddlewood Trl |
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City | Minnetonka |
State | Minnesota (MN) |
Post Code | 553452672 |
Phone Number | 9529359227 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Pharmacist |
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Taxonomy | 183500000X |
Licence No | 117076-4 |
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 |
---|---|---|---|
117076-4 | MN | MN PHARMACIST LICENSE | |
4803 | ND | ND PHARMACIST LICENSE |
Post Comment/ Review Below
What is the unique identifier code issued to Clint M Dworshak by the Centers for Medicare & Medicaid Services?
The Clint M Dworshak has been assigned the NPI (National Provider Identifier) 1053520916. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Clint M Dworshak is located?
The Clint M Dworshak is situated at the following address: 16908 Saddlewood Trl, Minnetonka, MN, 553452672.
What is Clint M Dworshak's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Clint M Dworshak is Pharmacist, and the corresponding taxonomy classification code for this specialized field is 183500000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1053520916 to Clint M Dworshak?
The Centers for Medicare & Medicaid Services originally issued the 1053520916 to Clint M Dworshak on 2007-05-21.
As of what date was the information regarding Clint M Dworshak, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Clint M Dworshak, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2009-03-30.
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