Shelo Justine Mutz in Tahlequah - Pharmacist
Shelo Justine Mutz - NPI 1609038116
Shelo Justine Mutz is a Pharmacist in Tahlequah, Oklahoma. Shelo Justine Mutz practices all healthcare services and medical treatments related to Pharmacist. The NPI Number for Shelo Justine Mutz is 1609038116. The last update date is 2008-06-26.
Shelo Justine Mutz's current location address is 100 S Bliss Ave, Tahlequah, Oklahoma. You can contact this provider via phone number 9184583105 and fax number 9184583508. The mailing address for Shelo Justine Mutz is 100 S Bliss Ave, Tahlequah, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shelo Justine Mutz |
|---|---|
| Address | 100 S Bliss Ave, Tahlequah, Oklahoma |
| Phone Number | 9184583105 |
| Fax Number | 9184583508 |
| Sole Proprietor | N |
| Credentials | D.PH. |
NPI Number Detail
| NPI Number | 1609038116 |
|---|---|
| Provider Enumeration Date | 2008-06-26 |
| Last Updated Date | 2008-06-26 |
Provider Mailing Address Detail
| Address | 100 S Bliss Ave |
|---|---|
| City | Tahlequah |
| State | Oklahoma (OK) |
| Post Code | 744642512 |
| Phone Number | 9184583105 |
| Fax Number | 9184583508 |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacist |
|---|---|
| Taxonomy | 183500000X |
| Licence No | 11832 |
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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 Shelo Justine Mutz's unique identification number?
The Shelo Justine Mutz has been assigned the NPI (National Provider Identifier) Number 1609038116 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical address where Shelo Justine Mutz is geographically located?
The Shelo Justine Mutz is physically situated at the following location: 100 S Bliss Ave, Tahlequah, OK, 744642512.
What is Shelo Justine Mutz's specialized field of practice, and what is the corresponding taxonomy classification code?
The Shelo Justine Mutz's area of specialization is Pharmacist, and the corresponding taxonomy code that categorizes this field of practice is 183500000X.
On what date did the Shelo Justine Mutz receive the assignment of its 1609038116 from the Centers for Medicare & Medicaid Services?
The Shelo Justine Mutz was issued its 1609038116 by the Centers for Medicare & Medicaid Services on 2008-06-26.
When was the information related to Shelo Justine Mutz most recently updated or refreshed?
The details pertaining to the Shelo Justine Mutz, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-06-26.