John Jacob Petrich in Greenville - Pharmacist
John Jacob Petrich - NPI 1700868494
John Jacob Petrich is a Pharmacist in Greenville, South Carolina. John Jacob Petrich practices all healthcare services and medical treatments related to Pharmacist. The NPI Number for John Jacob Petrich is 1700868494. The last update date is 2007-07-09.
John Jacob Petrich's current location address is 1319 Woodside Ave, Greenville, South Carolina. You can contact this provider via phone number 8642324662 and fax number 8642715276. The mailing address for John Jacob Petrich is 1319 Woodside Ave, Greenville, South Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John Jacob Petrich |
|---|---|
| Address | 1319 Woodside Ave, Greenville, South Carolina |
| Phone Number | 8642324662 |
| Fax Number | 8642715276 |
| Sole Proprietor | X |
| Credentials | R.P.H. |
NPI Number Detail
| NPI Number | 1700868494 |
|---|---|
| Provider Enumeration Date | 2005-11-17 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 1319 Woodside Ave |
|---|---|
| City | Greenville |
| State | South Carolina (SC) |
| Post Code | 296113738 |
| Phone Number | 8642324662 |
| Fax Number | 8642715276 |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacist |
|---|---|
| Taxonomy | 183500000X |
| Licence No | 5505 |
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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 |
|---|---|---|---|
| 726101 | SC | -- | |
| DME458 | SC | -- |
Post Comment/ Review Below
What is the unique identifier code issued to John Jacob Petrich by the Centers for Medicare & Medicaid Services (CMS)?
The John Jacob Petrich has been assigned the NPI (National Provider Identifier) 1700868494. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you share the physical location details of John Jacob Petrich?
The John Jacob Petrich is situated at 1319 Woodside Ave, in the city of Greenville, state of SC, with the zip code 296113738.
What is John Jacob Petrich's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for John Jacob Petrich is Pharmacist, and the taxonomy classification code that categorizes this area of expertise is 183500000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1700868494 to John Jacob Petrich?
The Centers for Medicare & Medicaid Services originally issued the 1700868494 to John Jacob Petrich on 2005-11-17.
When was the John Jacob Petrich's information last updated?
The John Jacob Petrich's information was last updated on 2007-07-09.