Gregory Jackson Aycock in Ballwin - Pharmacist
Gregory Jackson Aycock - NPI 1215924527
Gregory Jackson Aycock is a Pharmacist in Ballwin, Missouri. Gregory Jackson Aycock practices all healthcare services and medical treatments related to Pharmacist. The NPI Number for Gregory Jackson Aycock is 1215924527. The last update date is 2023-09-29.
Gregory Jackson Aycock's current location address is 339 Consort Dr, Ballwin, Missouri. You can contact this provider via phone number 6363869224 and fax number 6363867679. The mailing address for Gregory Jackson Aycock is 339 Consort Dr, Ballwin, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gregory Jackson Aycock |
|---|---|
| Address | 339 Consort Dr, Ballwin, Missouri |
| Phone Number | 6363869224 |
| Fax Number | 6363867679 |
| Sole Proprietor | N |
| Credentials | PHARM D. |
NPI Number Detail
| NPI Number | 1215924527 |
|---|---|
| Provider Enumeration Date | 2005-10-03 |
| Last Updated Date | 2023-09-29 |
Provider Mailing Address Detail
| Address | 339 Consort Dr |
|---|---|
| City | Ballwin |
| State | Missouri (MO) |
| Post Code | 630114439 |
| Phone Number | 6363869224 |
| Fax Number | 6363867679 |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacist |
|---|---|
| Taxonomy | 183500000X |
| Licence No | PS40328 |
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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 Gregory Jackson Aycock's 1215924527?
The Gregory Jackson Aycock's NPI (National Provider Identifier) Number is 1215924527. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Gregory Jackson Aycock's facilities are situated?
The facilities of Gregory Jackson Aycock are physically located at the following address: 339 Consort Dr, Ballwin, MO, 630114439.
What is the Gregory Jackson Aycock's area of specialization and corresponding taxonomy classification?
The Gregory Jackson Aycock's specialty field is Pharmacist, and it falls under the taxonomy code 183500000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1215924527 to Gregory Jackson Aycock?
The Centers for Medicare & Medicaid Services originally issued the 1215924527 to Gregory Jackson Aycock on 2005-10-03.
When was the information pertaining to Gregory Jackson Aycock most recently updated or revised?
The details related to Gregory Jackson Aycock, including its address, specialty, and other relevant information, were last updated or revised on 2023-09-29.
NPI Number: 1376546309
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