Dewitt Divinity is a Pharmacist in Jackson, Mississippi. Dewitt Divinity practices all healthcare services and medical treatments related to Pharmacist. The NPI Number for Dewitt Divinity is 1164528477. The last update date is 2007-07-08.
Dewitt Divinity's current location address is 1500 E Woodrow Wilson Dr, Jackson, Mississippi. You can contact this provider via phone number 6013641555 and fax number 6013641578. The mailing address for Dewitt Divinity is 1500 E Woodrow Wilson Dr, Jackson, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Dewitt Divinity |
|---|---|
| Address | 1500 E Woodrow Wilson Dr, Jackson, Mississippi |
| Phone Number | 6013641555 |
| Fax Number | 6013641578 |
| Sole Proprietor | N |
| Credentials | RPH |
NPI Number Detail
| NPI Number | 1164528477 |
|---|---|
| Provider Enumeration Date | 2006-09-15 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1500 E Woodrow Wilson Dr |
|---|---|
| City | Jackson |
| State | Mississippi (MS) |
| Post Code | 392165199 |
| Phone Number | 6013641555 |
| Fax Number | 6013641578 |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacist |
|---|---|
| Taxonomy | 183500000X |
| Licence No | T-09554 |
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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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Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Dewitt Divinity by the Centers for Medicare & Medicaid Services?
The Dewitt Divinity has been issued the NPI (National Provider Identifier) 1164528477 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Dewitt Divinity is located?
The Dewitt Divinity is situated at the following address: 1500 E Woodrow Wilson Dr, Jackson, MS, 392165199.
What is Dewitt Divinity's area of expertise and its corresponding taxonomy classification?
The Dewitt Divinity's field of specialization is Pharmacist, and it falls under the taxonomy code 183500000X, which categorizes healthcare providers based on their areas of practice.
When did Dewitt Divinity receive its 1164528477 assignment?
The Dewitt Divinity was assigned its 1164528477 on 2006-09-15, which is the date when this unique identifier was issued to the organization.
As of what date were the details related to Dewitt Divinity most recently updated or revised?
The information pertaining to Dewitt Divinity, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.