Bradley Hulen Raney in Idabel - Pharmacist
Bradley Hulen Raney - NPI 1639269509
Bradley Hulen Raney is a Pharmacist in Idabel, Oklahoma. Bradley Hulen Raney practices all healthcare services and medical treatments related to Pharmacist. The NPI Number for Bradley Hulen Raney is 1639269509. The last update date is 2007-07-08.
Bradley Hulen Raney's current location address is 1106 Se Washington St, Idabel, Oklahoma. You can contact this provider via phone number 5802082400 and fax number 5802082401. The mailing address for Bradley Hulen Raney is 1106 Se Washington St, Idabel, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bradley Hulen Raney |
|---|---|
| Address | 1106 Se Washington St, Idabel, Oklahoma |
| Phone Number | 5802082400 |
| Fax Number | 5802082401 |
| Sole Proprietor | Y |
| Credentials | DPH |
NPI Number Detail
| NPI Number | 1639269509 |
|---|---|
| Provider Enumeration Date | 2006-10-13 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1106 Se Washington St |
|---|---|
| City | Idabel |
| State | Oklahoma (OK) |
| Post Code | 747453442 |
| Phone Number | 5802082400 |
| Fax Number | 5802082401 |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacist |
|---|---|
| Taxonomy | 183500000X |
| Licence No | 11412 |
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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 identifier code issued to Bradley Hulen Raney by the Centers for Medicare & Medicaid Services?
The Bradley Hulen Raney has been assigned the NPI (National Provider Identifier) 1639269509 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Bradley Hulen Raney is physically located?
The Bradley Hulen Raney is physically situated at the following address: 1106 Se Washington St, Idabel, OK, 747453442.
What is the Bradley Hulen Raney's specialty and taxonomy code?
The Bradley Hulen Raney's specialty is Pharmacist, and the corresponding taxonomy code is 183500000X.
On what date did the Bradley Hulen Raney receive the assignment of its 1639269509 from the Centers for Medicare & Medicaid Services?
The Bradley Hulen Raney was issued its 1639269509 by the Centers for Medicare & Medicaid Services on 2006-10-13.
As of what date were the Bradley Hulen Raney's details last updated?
The information pertaining to the Bradley Hulen Raney, including its address, specialty, and other details, was most recently updated on 2007-07-08.