Tracey L Pavlicek in Dickinson - Pharmacist

Tracey L Pavlicek - NPI 1659414639

Tracey L Pavlicek is a Pharmacist in Dickinson, North Dakota. Tracey L Pavlicek practices all healthcare services and medical treatments related to Pharmacist. The NPI Number for Tracey L Pavlicek is 1659414639. The last update date is 2007-07-08.

Tracey L Pavlicek's current location address is 2260 3rd St W, Dickinson, North Dakota. You can contact this provider via phone number 7014839299 and fax number 7012250013. The mailing address for Tracey L Pavlicek is 2260 3rd St W, Dickinson, North Dakota. To know further, please read the information below!

Provider Profile Detail

Provider Name Tracey L Pavlicek
Address 2260 3rd St W, Dickinson, North Dakota
Phone Number 7014839299
Fax Number 7012250013
Sole Proprietor N
Credentials RPH

NPI Number Detail

NPI Number 1659414639
Provider Enumeration Date 2007-02-15
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 2260 3rd St W
City Dickinson
State North Dakota (ND)
Post Code 586012414
Phone Number 7014839299
Fax Number 7012250013

Provider's Primary Taxonomy Detail

Speciality Pharmacist
Taxonomy 183500000X
Licence No 4568
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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FAQs about Tracey L Pavlicek

What is the unique 10-digit identification code assigned to Tracey L Pavlicek by the Centers for Medicare & Medicaid Services?

The Tracey L Pavlicek has been issued the NPI (National Provider Identifier) 1659414639, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you share the physical location details of Tracey L Pavlicek?

The Tracey L Pavlicek is situated at 2260 3Rd St W, in the city of Dickinson, state of ND, with the zip code 586012414.

What is the Tracey L Pavlicek's specialty and taxonomy code?

The Tracey L Pavlicek's specialty is Pharmacist, and the corresponding taxonomy code is 183500000X.

When was the Tracey L Pavlicek's 1659414639 issued?

The Tracey L Pavlicek's 1659414639 was issued on 2007-02-15.

As of what date were the Tracey L Pavlicek's details last updated?

The information pertaining to the Tracey L Pavlicek, including its address, specialty, and other details, was most recently updated on 2007-07-08.

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