Brent Jude Bashaw is a Pharmacist in Latham, New York. Brent Jude Bashaw practices all healthcare services and medical treatments related to Pharmacist. The NPI Number for Brent Jude Bashaw is 1225210768. The last update date is 2010-05-11.
Brent Jude Bashaw's current location address is 675 Troy Schenectady Rd, Latham, New York. You can contact this provider via phone number 5187821360. The mailing address for Brent Jude Bashaw is 675 Troy Schenectady Rd, Latham, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brent Jude Bashaw |
|---|---|
| Address | 675 Troy Schenectady Rd, Latham, New York |
| Phone Number | 5187821360 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | RPH |
NPI Number Detail
| NPI Number | 1225210768 |
|---|---|
| Provider Enumeration Date | 2007-11-27 |
| Last Updated Date | 2010-05-11 |
Provider Mailing Address Detail
| Address | 675 Troy Schenectady Rd |
|---|---|
| City | Latham |
| State | New York (NY) |
| Post Code | 121102493 |
| Phone Number | 5187821360 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacist |
|---|---|
| Taxonomy | 183500000X |
| Licence No | 40628 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1309571 | NY | -- |
Post Comment/ Review Below
What is the Brent Jude Bashaw's 1225210768?
The Brent Jude Bashaw's NPI (National Provider Identifier) Number is 1225210768. 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 Brent Jude Bashaw is physically located?
The Brent Jude Bashaw is situated at the following address: 675 Troy Schenectady Rd, Latham, NY 121102493.
What is the Brent Jude Bashaw's specialty and taxonomy code?
The Brent Jude Bashaw's specialty is Pharmacist, and the corresponding taxonomy code is 183500000X.
When did the Brent Jude Bashaw receive its 1225210768?
The Brent Jude Bashaw was issued its 1225210768 on 2007-11-27, which is the date when the organization was assigned this unique identifier.
When was the Brent Jude Bashaw's information last updated?
The Brent Jude Bashaw's information was last updated on 2010-05-11.