Anthony Ray Liedtke in Tacoma - Pharmacist
Anthony Ray Liedtke - NPI 1528157708
Anthony Ray Liedtke is a Pharmacist in Tacoma, Washington. Anthony Ray Liedtke practices all healthcare services and medical treatments related to Pharmacist. The NPI Number for Anthony Ray Liedtke is 1528157708. The last update date is 2007-07-08.
Anthony Ray Liedtke's current location address is 9600 Veterans Dr Sw, Tacoma, Washington. You can contact this provider via phone number 2535831177. The mailing address for Anthony Ray Liedtke is 9600 Veterans Dr Sw, Tacoma, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Anthony Ray Liedtke |
|---|---|
| Address | 9600 Veterans Dr Sw, Tacoma, Washington |
| Phone Number | 2535831177 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | RPH |
NPI Number Detail
| NPI Number | 1528157708 |
|---|---|
| Provider Enumeration Date | 2006-10-12 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 9600 Veterans Dr Sw |
|---|---|
| City | Tacoma |
| State | Washington (WA) |
| Post Code | 984930003 |
| Phone Number | 2535831177 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacist |
|---|---|
| Taxonomy | 183500000X |
| Licence No | PH00011725 |
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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 identification code assigned to Anthony Ray Liedtke by the Centers for Medicare & Medicaid Services?
The Anthony Ray Liedtke has been issued the NPI (National Provider Identifier) 1528157708. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Anthony Ray Liedtke is geographically located?
The Anthony Ray Liedtke is physically situated at the following location: 9600 Veterans Dr Sw, Tacoma, WA, 984930003.
What is the area of specialization for Anthony Ray Liedtke, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Anthony Ray Liedtke is Pharmacist, and the corresponding taxonomy code that categorizes this area of expertise is 183500000X.
On what date did the Anthony Ray Liedtke receive the assignment of its 1528157708 from the Centers for Medicare & Medicaid Services?
The Anthony Ray Liedtke was issued its 1528157708 by the Centers for Medicare & Medicaid Services on 2006-10-12.
As of what date were the Anthony Ray Liedtke's details last updated?
The information pertaining to the Anthony Ray Liedtke, including its address, specialty, and other details, was most recently updated on 2007-07-08.