David Eugene Nicklas in Shawnee - Pharmacist
David Eugene Nicklas - NPI 1073523932
David Eugene Nicklas is a Pharmacist in Shawnee, Oklahoma. David Eugene Nicklas practices all healthcare services and medical treatments related to Pharmacist. The NPI Number for David Eugene Nicklas is 1073523932. The last update date is 2007-07-08.
David Eugene Nicklas's current location address is 1807 Henson Ct, Shawnee, Oklahoma. You can contact this provider via phone number 4052756169. The mailing address for David Eugene Nicklas is 1807 Henson Ct, Shawnee, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Name | David Eugene Nicklas |
|---|---|
| Address | 1807 Henson Ct, Shawnee, Oklahoma |
| Phone Number | 4052756169 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | DPH |
NPI Number Detail
| NPI Number | 1073523932 |
|---|---|
| Provider Enumeration Date | 2006-08-09 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1807 Henson Ct |
|---|---|
| City | Shawnee |
| State | Oklahoma (OK) |
| Post Code | 748044240 |
| Phone Number | 4052756169 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacist |
|---|---|
| Taxonomy | 183500000X |
| Licence No | 9416 |
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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 identification code assigned to David Eugene Nicklas by the Centers for Medicare & Medicaid Services?
The David Eugene Nicklas has been issued the NPI (National Provider Identifier) 1073523932. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the David Eugene Nicklas's physical address?
The David Eugene Nicklas is physically located at 1807 Henson Ct, in the city of Shawnee, OK, with the postal code 748044240.
What is David Eugene Nicklas's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for David Eugene Nicklas is Pharmacist, and the taxonomy code that categorizes this field of expertise is 183500000X.
On what date did David Eugene Nicklas receive its 1073523932 assignment from the Centers for Medicare & Medicaid Services?
The David Eugene Nicklas was assigned its 1073523932 on 2006-08-09, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the David Eugene Nicklas's details last updated?
The information pertaining to the David Eugene Nicklas, including its address, specialty, and other details, was most recently updated on 2007-07-08.
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