Malcolm Lavaughan Massenberg in Petersburg - Pharmacist
Malcolm Lavaughan Massenberg - NPI 1518186253
Malcolm Lavaughan Massenberg is a Pharmacist in Petersburg, Virginia. Malcolm Lavaughan Massenberg practices all healthcare services and medical treatments related to Pharmacist. The NPI Number for Malcolm Lavaughan Massenberg is 1518186253. The last update date is 2007-07-08.
Malcolm Lavaughan Massenberg's current location address is 3330 S Crater Rd, Petersburg, Virginia. You can contact this provider via phone number 8048630983. The mailing address for Malcolm Lavaughan Massenberg is 3330 S Crater Rd, Petersburg, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Malcolm Lavaughan Massenberg |
|---|---|
| Address | 3330 S Crater Rd, Petersburg, Virginia |
| Phone Number | 8048630983 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1518186253 |
|---|---|
| Provider Enumeration Date | 2007-04-24 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3330 S Crater Rd |
|---|---|
| City | Petersburg |
| State | Virginia (VA) |
| Post Code | 238059277 |
| Phone Number | 8048630983 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacist |
|---|---|
| Taxonomy | 183500000X |
| Licence No | 202005260 |
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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 identifier code issued to Malcolm Lavaughan Massenberg by the Centers for Medicare & Medicaid Services?
The Malcolm Lavaughan Massenberg has been assigned the NPI (National Provider Identifier) 1518186253. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Malcolm Lavaughan Massenberg is located?
The Malcolm Lavaughan Massenberg is situated at the following address: 3330 S Crater Rd, Petersburg, VA, 238059277.
What is Malcolm Lavaughan Massenberg's specialized field of practice, and what is the corresponding taxonomy classification code?
The Malcolm Lavaughan Massenberg'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 issue the 1518186253 to Malcolm Lavaughan Massenberg?
The Malcolm Lavaughan Massenberg received its 1518186253 assignment from the Centers for Medicare & Medicaid Services on 2007-04-24.
As of what date were the Malcolm Lavaughan Massenberg's details last updated?
The information pertaining to the Malcolm Lavaughan Massenberg, including its address, specialty, and other details, was most recently updated on 2007-07-08.