Katherine Anne Petkewicz in Valley Park - Pharmacist
Katherine Anne Petkewicz - NPI 1558583351
Katherine Anne Petkewicz is a Pharmacist in Valley Park, Missouri. Katherine Anne Petkewicz practices all healthcare services and medical treatments related to Pharmacist. The NPI Number for Katherine Anne Petkewicz is 1558583351. The last update date is 2007-07-08.
Katherine Anne Petkewicz's current location address is 1520 Westwind Estates Drive, Valley Park, Missouri. You can contact this provider via phone number 6368258304. The mailing address for Katherine Anne Petkewicz is 1520 Westwind Estates Drive, Valley Park, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Katherine Anne Petkewicz |
|---|---|
| Address | 1520 Westwind Estates Drive, Valley Park, Missouri |
| Phone Number | 6368258304 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PHARM.D |
NPI Number Detail
| NPI Number | 1558583351 |
|---|---|
| Provider Enumeration Date | 2007-05-02 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1520 Westwind Estates Drive |
|---|---|
| City | Valley Park |
| State | Missouri (MO) |
| Post Code | 63088 |
| Phone Number | 6368258304 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacist |
|---|---|
| Taxonomy | 183500000X |
| Licence No | 2005040697 |
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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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What is the unique 10-digit identification code issued to Katherine Anne Petkewicz by the Centers for Medicare & Medicaid Services?
The Katherine Anne Petkewicz has been assigned the NPI (National Provider Identifier) 1558583351 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete physical address where Katherine Anne Petkewicz is located?
The Katherine Anne Petkewicz is situated at the following address: 1520 Westwind Estates Drive, Valley Park, MO, 63088.
What is the Katherine Anne Petkewicz's specialty and taxonomy code?
The Katherine Anne Petkewicz's specialty is Pharmacist, and the corresponding taxonomy code is 183500000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1558583351 to Katherine Anne Petkewicz?
The Katherine Anne Petkewicz received its 1558583351 assignment from the Centers for Medicare & Medicaid Services on 2007-05-02.
As of what date were the Katherine Anne Petkewicz's details last updated?
The information pertaining to the Katherine Anne Petkewicz, including its address, specialty, and other details, was most recently updated on 2007-07-08.