Brook Wade Madlin is a Pharmacist in Potsdam, New York. Brook Wade Madlin practices all healthcare services and medical treatments related to Pharmacist. The NPI Number for Brook Wade Madlin is 1508048620. The last update date is 2008-10-08.
Brook Wade Madlin's current location address is 130 Dayton Rd, Potsdam, New York. You can contact this provider via phone number 3152614182. The mailing address for Brook Wade Madlin is 130 Dayton Rd, Potsdam, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brook Wade Madlin |
|---|---|
| Address | 130 Dayton Rd, Potsdam, New York |
| Phone Number | 3152614182 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | RPH |
NPI Number Detail
| NPI Number | 1508048620 |
|---|---|
| Provider Enumeration Date | 2007-11-30 |
| Last Updated Date | 2008-10-08 |
Provider Mailing Address Detail
| Address | 130 Dayton Rd |
|---|---|
| City | Potsdam |
| State | New York (NY) |
| Post Code | 136763269 |
| Phone Number | 3152614182 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacist |
|---|---|
| Taxonomy | 183500000X |
| Licence No | 47068 |
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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 identification code issued to Brook Wade Madlin by the Centers for Medicare & Medicaid Services?
The Brook Wade Madlin has been assigned the NPI (National Provider Identifier) 1508048620 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete physical location address of Brook Wade Madlin?
The Brook Wade Madlin is physically situated at 130 Dayton Rd, in the city of Potsdam, state of NY, with the postal code 136763269.
What is the area of specialization for Brook Wade Madlin, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Brook Wade Madlin is Pharmacist, and the corresponding taxonomy code that categorizes this area of expertise is 183500000X.
On what date did Brook Wade Madlin receive its 1508048620 assignment from the Centers for Medicare & Medicaid Services?
The Brook Wade Madlin was assigned its 1508048620 on 2007-11-30, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Brook Wade Madlin last refreshed?
The information related to the Brook Wade Madlin, including its address, specialty, and other relevant details, was last updated on 2008-10-08.