Jerry Michael Berry in Antlers - Pharmacist
Jerry Michael Berry - NPI 1730260696
Jerry Michael Berry is a Pharmacist in Antlers, Oklahoma. Jerry Michael Berry practices all healthcare services and medical treatments related to Pharmacist. The NPI Number for Jerry Michael Berry is 1730260696. The last update date is 2007-07-08.
Jerry Michael Berry's current location address is 906 E Main St, Antlers, Oklahoma. You can contact this provider via phone number 5802985064 and fax number 5802986144. The mailing address for Jerry Michael Berry is 906 E Main St, Antlers, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jerry Michael Berry |
|---|---|
| Address | 906 E Main St, Antlers, Oklahoma |
| Phone Number | 5802985064 |
| Fax Number | 5802986144 |
| Sole Proprietor | N |
| Credentials | DPH |
NPI Number Detail
| NPI Number | 1730260696 |
|---|---|
| Provider Enumeration Date | 2006-10-18 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 906 E Main St |
|---|---|
| City | Antlers |
| State | Oklahoma (OK) |
| Post Code | 745232808 |
| Phone Number | 5802985064 |
| Fax Number | 5802986144 |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacist |
|---|---|
| Taxonomy | 183500000X |
| Licence No | 8708 |
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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 Jerry Michael Berry by the Centers for Medicare & Medicaid Services?
The Jerry Michael Berry has been assigned the NPI (National Provider Identifier) 1730260696 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Can you provide the Jerry Michael Berry's physical address?
The Jerry Michael Berry is physically located at 906 E Main St, in the city of Antlers, OK, with the postal code 745232808.
What is the Jerry Michael Berry's specialty and taxonomy code?
The Jerry Michael Berry's specialty is Pharmacist, and the corresponding taxonomy code is 183500000X.
On what date was the 1730260696 assigned to Jerry Michael Berry?
The Jerry Michael Berry was issued its 1730260696 on 2006-10-18, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Jerry Michael Berry last refreshed?
The information related to the Jerry Michael Berry, including its address, specialty, and other relevant details, was last updated on 2007-07-08.
NPI Number: 1083611107
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