Alice Jessup Dedrick in Depew - Pharmacist
Alice Jessup Dedrick - NPI 1861672784
Alice Jessup Dedrick is a Pharmacist in Depew, New York. Alice Jessup Dedrick practices all healthcare services and medical treatments related to Pharmacist. The NPI Number for Alice Jessup Dedrick is 1861672784. The last update date is 2007-11-08.
Alice Jessup Dedrick's current location address is 4900 Broadway, Depew, New York. You can contact this provider via phone number 7166814255 and fax number 7166817598. The mailing address for Alice Jessup Dedrick is 4900 Broadway, Depew, New York. To know further, please read the information below!
Provider Profile Detail
Provider Name | Alice Jessup Dedrick |
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Address | 4900 Broadway, Depew, New York |
Phone Number | 7166814255 |
Fax Number | 7166817598 |
Sole Proprietor | N |
Credentials | RPH |
NPI Number Detail
NPI Number | 1861672784 |
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Provider Enumeration Date | 2007-11-08 |
Last Updated Date | 2007-11-08 |
Provider Mailing Address Detail
Address | 4900 Broadway |
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City | Depew |
State | New York (NY) |
Post Code | 140433934 |
Phone Number | 7166814255 |
Fax Number | 7166817598 |
Provider's Primary Taxonomy Detail
Speciality | Pharmacist |
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Taxonomy | 183500000X |
Licence No | 26482 |
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 |
---|---|---|---|
482751 | NY | -- |
Post Comment/ Review Below
What is the Alice Jessup Dedrick's 1861672784?
The Alice Jessup Dedrick's NPI (National Provider Identifier) Number is 1861672784. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Alice Jessup Dedrick is physically located?
The Alice Jessup Dedrick is situated at the following address: 4900 Broadway, Depew, NY 140433934.
What is Alice Jessup Dedrick's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Alice Jessup Dedrick is Pharmacist, and the taxonomy classification code that categorizes this area of expertise is 183500000X.
On what date did the Alice Jessup Dedrick receive its 1861672784 assignment from the Centers for Medicare & Medicaid Services?
The Alice Jessup Dedrick was assigned its 1861672784 by the Centers for Medicare & Medicaid Services on 2007-11-08.
When was the information pertaining to Alice Jessup Dedrick most recently updated or revised?
The details related to Alice Jessup Dedrick, including its address, specialty, and other relevant information, were last updated or revised on 2007-11-08.
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