Penny Ann Sullivan-Green in Runaway Bay - Pharmacist
Penny Ann Sullivan-Green - NPI 1609955863
Penny Ann Sullivan-Green is a Pharmacist in Runaway Bay, Texas. Penny Ann Sullivan-Green practices all healthcare services and medical treatments related to Pharmacist. The NPI Number for Penny Ann Sullivan-Green is 1609955863. The last update date is 2023-05-05.
Penny Ann Sullivan-Green's current location address is 144 Meadow Pond Ct, Runaway Bay, Texas. You can contact this provider via phone number 9405754488 and fax number 9405754477. The mailing address for Penny Ann Sullivan-Green is 144 Meadow Pond Ct, Runaway Bay, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Penny Ann Sullivan-Green |
|---|---|
| Address | 144 Meadow Pond Ct, Runaway Bay, Texas |
| Phone Number | 9405754488 |
| Fax Number | 9405754477 |
| Sole Proprietor | N |
| Credentials | PHARMD |
NPI Number Detail
| NPI Number | 1609955863 |
|---|---|
| Provider Enumeration Date | 2006-11-06 |
| Last Updated Date | 2023-05-05 |
Provider Mailing Address Detail
| Address | 144 Meadow Pond Ct |
|---|---|
| City | Runaway Bay |
| State | Texas (TX) |
| Post Code | 764269710 |
| Phone Number | 9405754488 |
| Fax Number | 9405754477 |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacist |
|---|---|
| Taxonomy | 183500000X |
| Licence No | 33123 |
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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 10-digit identification code assigned to Penny Ann Sullivan-Green by the Centers for Medicare & Medicaid Services?
The Penny Ann Sullivan-Green has been issued the NPI (National Provider Identifier) 1609955863, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Penny Ann Sullivan-Green's physical address?
The Penny Ann Sullivan-Green is physically located at 144 Meadow Pond Ct, in the city of Runaway Bay, TX, with the postal code 764269710.
What is Penny Ann Sullivan-Green's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Penny Ann Sullivan-Green's specialized field of practice is Pharmacist, and the corresponding taxonomy code that categorizes this area of specialization is 183500000X.
On what date did Penny Ann Sullivan-Green receive its 1609955863 assignment from the Centers for Medicare & Medicaid Services?
The Penny Ann Sullivan-Green was assigned its 1609955863 on 2006-11-06, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Penny Ann Sullivan-Green most recently updated or revised?
The information pertaining to Penny Ann Sullivan-Green, including its address, specialty, and other relevant details, was last updated or revised on 2023-05-05.