Gary Wayne Pundt is a Pharmacist in Rochester, Minnesota. Gary Wayne Pundt practices all healthcare services and medical treatments related to Pharmacist. The NPI Number for Gary Wayne Pundt is 1689664617. The last update date is 2007-07-08.
Gary Wayne Pundt's current location address is 202 N Broadway, Rochester, Minnesota. You can contact this provider via phone number 5072886463 and fax number 5072882192. The mailing address for Gary Wayne Pundt is 202 N Broadway, Rochester, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gary Wayne Pundt |
|---|---|
| Address | 202 N Broadway, Rochester, Minnesota |
| Phone Number | 5072886463 |
| Fax Number | 5072882192 |
| Sole Proprietor | X |
| Credentials | R.PH. |
NPI Number Detail
| NPI Number | 1689664617 |
|---|---|
| Provider Enumeration Date | 2005-10-21 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 202 N Broadway |
|---|---|
| City | Rochester |
| State | Minnesota (MN) |
| Post Code | 559063646 |
| Phone Number | 5072886463 |
| Fax Number | 5072882192 |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacist |
|---|---|
| Taxonomy | 183500000X |
| Licence No | 115189-3 |
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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 |
|---|---|---|---|
| 115189-3 | MN | MN BOARD OF PHARMACY LIC. |
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What is the Gary Wayne Pundt's unique identification number?
The Gary Wayne Pundt has been assigned the NPI (National Provider Identifier) Number 1689664617 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Gary Wayne Pundt's physical address?
The Gary Wayne Pundt is physically located at 202 N Broadway, in the city of Rochester, MN, with the postal code 559063646.
What is Gary Wayne Pundt's specialized field of practice, and what is the corresponding taxonomy classification code?
The Gary Wayne Pundt's area of specialization is Pharmacist, and the corresponding taxonomy code that categorizes this field of practice is 183500000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1689664617 to Gary Wayne Pundt?
The Centers for Medicare & Medicaid Services assigned the 1689664617 to Gary Wayne Pundt on 2005-10-21.
As of what date were the details pertaining to Gary Wayne Pundt last refreshed?
The information related to the Gary Wayne Pundt, including its address, specialty, and other relevant details, was last updated on 2007-07-08.