Maurice Douglas Kistner in Mountain City - Pharmacist
Maurice Douglas Kistner - NPI 1770708752
Maurice Douglas Kistner is a Pharmacist in Mountain City, Tennessee. Maurice Douglas Kistner practices all healthcare services and medical treatments related to Pharmacist. The NPI Number for Maurice Douglas Kistner is 1770708752. The last update date is 2007-07-08.
Maurice Douglas Kistner's current location address is 103 N Shady St, Mountain City, Tennessee. You can contact this provider via phone number 4237275651 and fax number 4237270148. The mailing address for Maurice Douglas Kistner is 103 N Shady St, Mountain City, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Maurice Douglas Kistner |
|---|---|
| Address | 103 N Shady St, Mountain City, Tennessee |
| Phone Number | 4237275651 |
| Fax Number | 4237270148 |
| Sole Proprietor | N |
| Credentials | D.PH |
NPI Number Detail
| NPI Number | 1770708752 |
|---|---|
| Provider Enumeration Date | 2007-04-16 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 103 N Shady St |
|---|---|
| City | Mountain City |
| State | Tennessee (TN) |
| Post Code | 376831333 |
| Phone Number | 4237275651 |
| Fax Number | 4237270148 |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacist |
|---|---|
| Taxonomy | 183500000X |
| Licence No | 5496 |
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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 provider identifier assigned to Maurice Douglas Kistner?
The Maurice Douglas Kistner has been issued the NPI (National Provider Identifier) 1770708752 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the Maurice Douglas Kistner located?
The Maurice Douglas Kistner is located at 103 N Shady St, Mountain City, TN 376831333.
What is the area of specialization for Maurice Douglas Kistner, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Maurice Douglas Kistner is Pharmacist, and the corresponding taxonomy code that categorizes this area of expertise is 183500000X.
When did Maurice Douglas Kistner receive its 1770708752 assignment?
The Maurice Douglas Kistner was assigned its 1770708752 on 2007-04-16, which is the date when this unique identifier was issued to the organization.
When was the Maurice Douglas Kistner's information last updated?
The Maurice Douglas Kistner's information was last updated on 2007-07-08.
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