Jerome Jay Ersland in Chickasha - Pharmacist
Jerome Jay Ersland - NPI 1316151079
Jerome Jay Ersland is a Pharmacist in Chickasha, Oklahoma. Jerome Jay Ersland practices all healthcare services and medical treatments related to Pharmacist. The NPI Number for Jerome Jay Ersland is 1316151079. The last update date is 2007-07-08.
Jerome Jay Ersland's current location address is 1300 North 29th Street, Chickasha, Oklahoma. You can contact this provider via phone number 4052240724. The mailing address for Jerome Jay Ersland is 1300 North 29th Street, Chickasha, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jerome Jay Ersland |
|---|---|
| Address | 1300 North 29th Street, Chickasha, Oklahoma |
| Phone Number | 4052240724 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | DPH PHD |
NPI Number Detail
| NPI Number | 1316151079 |
|---|---|
| Provider Enumeration Date | 2007-05-10 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1300 North 29th Street |
|---|---|
| City | Chickasha |
| State | Oklahoma (OK) |
| Post Code | 73018 |
| Phone Number | 4052240724 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacist |
|---|---|
| Taxonomy | 183500000X |
| Licence No | 8996 |
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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 |
|---|---|---|---|
| 21539 | TX | STATE BD OF PHARMACY | |
| 8996 | OK | STATE BD OF PHARMACY |
Post Comment/ Review Below
What is the unique identification code assigned to Jerome Jay Ersland by the Centers for Medicare & Medicaid Services?
The Jerome Jay Ersland has been issued the NPI (National Provider Identifier) 1316151079. This 10-digit code 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 Jerome Jay Ersland?
The Jerome Jay Ersland is situated at 1300 North 29Th Street, in the city of Chickasha, state of OK, with the zip code 73018.
What is Jerome Jay Ersland's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Jerome Jay Ersland's specialized field of practice is Pharmacist, and the corresponding taxonomy code that categorizes this area of specialization is 183500000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1316151079 to Jerome Jay Ersland?
The Centers for Medicare & Medicaid Services originally issued the 1316151079 to Jerome Jay Ersland on 2007-05-10.
When was the information pertaining to Jerome Jay Ersland most recently updated or revised?
The details related to Jerome Jay Ersland, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.