Charmaine Denise Mode in Longview - Pharmacist
Charmaine Denise Mode - NPI 1669503389
Charmaine Denise Mode is a Pharmacist in Longview, Washington. Charmaine Denise Mode practices all healthcare services and medical treatments related to Pharmacist. The NPI Number for Charmaine Denise Mode is 1669503389. The last update date is 2018-12-06.
Charmaine Denise Mode's current location address is 1615 Delaware St, Longview, Washington. You can contact this provider via phone number 3604147656. The mailing address for Charmaine Denise Mode is 1615 Delaware St, Longview, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Charmaine Denise Mode |
|---|---|
| Address | 1615 Delaware St, Longview, Washington |
| Phone Number | 3604147656 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | BSCPHARM |
NPI Number Detail
| NPI Number | 1669503389 |
|---|---|
| Provider Enumeration Date | 2007-03-07 |
| Last Updated Date | 2018-12-06 |
Provider Mailing Address Detail
| Address | 1615 Delaware St |
|---|---|
| City | Longview |
| State | Washington (WA) |
| Post Code | 986322367 |
| Phone Number | 3604147656 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacist |
|---|---|
| Taxonomy | 183500000X |
| Licence No | PH00057349 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2016402 | WA | -- |
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What is the Charmaine Denise Mode's 1669503389?
The Charmaine Denise Mode's NPI (National Provider Identifier) Number is 1669503389. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Charmaine Denise Mode's physical address?
The Charmaine Denise Mode is physically located at 1615 Delaware St, in the city of Longview, WA, with the postal code 986322367.
What is the Charmaine Denise Mode's area of specialization and corresponding taxonomy classification?
The Charmaine Denise Mode's specialty field is Pharmacist, and it falls under the taxonomy code 183500000X, which categorizes healthcare providers based on their specialties.
When was the Charmaine Denise Mode's 1669503389 issued?
The Charmaine Denise Mode's 1669503389 was issued on 2007-03-07.
When was the information pertaining to Charmaine Denise Mode most recently updated or revised?
The details related to Charmaine Denise Mode, including its address, specialty, and other relevant information, were last updated or revised on 2018-12-06.