Kevin Wade Tiller in Fort Sam Houston - Pharmacist
Kevin Wade Tiller - NPI 1760533343
Kevin Wade Tiller is a Pharmacist in Fort Sam Houston, Texas. Kevin Wade Tiller practices all healthcare services and medical treatments related to Pharmacist. The NPI Number for Kevin Wade Tiller is 1760533343. The last update date is 2007-07-08.
Kevin Wade Tiller's current location address is 424 Dickman Rd, Fort Sam Houston, Texas. You can contact this provider via phone number 2103648566. The mailing address for Kevin Wade Tiller is 424 Dickman Rd, Fort Sam Houston, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kevin Wade Tiller |
|---|---|
| Address | 424 Dickman Rd, Fort Sam Houston, Texas |
| Phone Number | 2103648566 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | RPH |
NPI Number Detail
| NPI Number | 1760533343 |
|---|---|
| Provider Enumeration Date | 2007-01-12 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 424 Dickman Rd |
|---|---|
| City | Fort Sam Houston |
| State | Texas (TX) |
| Post Code | 782342601 |
| Phone Number | 2103648566 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacist |
|---|---|
| Taxonomy | 183500000X |
| Licence No | 15237 |
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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 unique provider identifier assigned to Kevin Wade Tiller?
The Kevin Wade Tiller has been issued the NPI (National Provider Identifier) 1760533343 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Kevin Wade Tiller's facilities are geographically located?
The facilities of Kevin Wade Tiller are physically situated at the following location: 424 Dickman Rd, Fort Sam Houston, TX, 782342601.
What is Kevin Wade Tiller's specialized field of practice, and what is the corresponding taxonomy classification code?
The Kevin Wade Tiller's area of specialization is Pharmacist, and the corresponding taxonomy code that categorizes this field of practice is 183500000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1760533343 to Kevin Wade Tiller?
The Centers for Medicare & Medicaid Services originally issued the 1760533343 to Kevin Wade Tiller on 2007-01-12.
As of what date were the Kevin Wade Tiller's details last updated?
The information pertaining to the Kevin Wade Tiller, including its address, specialty, and other details, was most recently updated on 2007-07-08.