Charles L Mauldin in Bridgeport - Pharmacist
Charles L Mauldin - NPI 1942314158
Charles L Mauldin is a Pharmacist in Bridgeport, Texas. Charles L Mauldin practices all healthcare services and medical treatments related to Pharmacist. The NPI Number for Charles L Mauldin is 1942314158. The last update date is 2015-12-01.
Charles L Mauldin's current location address is 709 Ww Ray Cir, Bridgeport, Texas. You can contact this provider via phone number 9406832950 and fax number 9406838059. The mailing address for Charles L Mauldin is 709 Ww Ray Cir, Bridgeport, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Charles L Mauldin |
|---|---|
| Address | 709 Ww Ray Cir, Bridgeport, Texas |
| Phone Number | 9406832950 |
| Fax Number | 9406838059 |
| Sole Proprietor | N |
| Credentials | RPH |
NPI Number Detail
| NPI Number | 1942314158 |
|---|---|
| Provider Enumeration Date | 2006-08-18 |
| Last Updated Date | 2015-12-01 |
Provider Mailing Address Detail
| Address | 709 Ww Ray Cir |
|---|---|
| City | Bridgeport |
| State | Texas (TX) |
| Post Code | 764265023 |
| Phone Number | 9406832950 |
| Fax Number | 9406838059 |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacist |
|---|---|
| Taxonomy | 183500000X |
| Licence No | 2137 |
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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 |
|---|---|---|---|
| 21376 | TX | RPH |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Charles L Mauldin by the Centers for Medicare & Medicaid Services?
The Charles L Mauldin has been issued the NPI (National Provider Identifier) 1942314158, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Charles L Mauldin is physically located?
The Charles L Mauldin is physically situated at the following address: 709 Ww Ray Cir, Bridgeport, TX, 764265023.
What is Charles L Mauldin's specialized field of practice, and what is the corresponding taxonomy classification code?
The Charles L Mauldin's area of specialization is Pharmacist, and the corresponding taxonomy code that categorizes this field of practice is 183500000X.
On what date did the Charles L Mauldin receive the assignment of its 1942314158 from the Centers for Medicare & Medicaid Services?
The Charles L Mauldin was issued its 1942314158 by the Centers for Medicare & Medicaid Services on 2006-08-18.
As of what date were the details related to Charles L Mauldin most recently updated or revised?
The information pertaining to Charles L Mauldin, including its address, specialty, and other relevant details, was last updated or revised on 2015-12-01.