Loretta Disney is a Pharmacist in Fort Worth, Texas. Loretta Disney practices all healthcare services and medical treatments related to Pharmacist. The NPI Number for Loretta Disney is 1114061561. The last update date is 2007-07-08.
Loretta Disney's current location address is 1501 Circle Dr, Fort Worth, Texas. You can contact this provider via phone number 8173218092. The mailing address for Loretta Disney is 1501 Circle Dr, Fort Worth, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Loretta Disney |
|---|---|
| Address | 1501 Circle Dr, Fort Worth, Texas |
| Phone Number | 8173218092 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | R.PH. |
NPI Number Detail
| NPI Number | 1114061561 |
|---|---|
| Provider Enumeration Date | 2007-02-19 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1501 Circle Dr |
|---|---|
| City | Fort Worth |
| State | Texas (TX) |
| Post Code | 761198727 |
| Phone Number | 8173218092 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacist |
|---|---|
| Taxonomy | 183500000X |
| Licence No | 21413 |
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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 identifier code issued to Loretta Disney by the Centers for Medicare & Medicaid Services?
The Loretta Disney has been assigned the NPI (National Provider Identifier) 1114061561. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Loretta Disney's physical address?
The Loretta Disney is physically located at 1501 Circle Dr, in the city of Fort Worth, TX, with the postal code 761198727.
What is Loretta Disney's specialized field of practice, and what is the corresponding taxonomy classification code?
The Loretta Disney's area of specialization is Pharmacist, and the corresponding taxonomy code that categorizes this field of practice is 183500000X.
On what date did the Loretta Disney receive the assignment of its 1114061561 from the Centers for Medicare & Medicaid Services?
The Loretta Disney was issued its 1114061561 by the Centers for Medicare & Medicaid Services on 2007-02-19.
When was the information pertaining to Loretta Disney most recently updated or revised?
The details related to Loretta Disney, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.