Theodore Shawn Regalia in Fall Creek - Pharmacist
Theodore Shawn Regalia - NPI 1083809982
Theodore Shawn Regalia is a Pharmacist in Fall Creek, Wisconsin. Theodore Shawn Regalia practices all healthcare services and medical treatments related to Pharmacist. The NPI Number for Theodore Shawn Regalia is 1083809982. The last update date is 2012-12-27.
Theodore Shawn Regalia's current location address is 6725 Otter Creek Rd, Fall Creek, Wisconsin. You can contact this provider via phone number 7155631586 and fax number 7158555062. The mailing address for Theodore Shawn Regalia is 6725 Otter Creek Rd, Fall Creek, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Theodore Shawn Regalia |
|---|---|
| Address | 6725 Otter Creek Rd, Fall Creek, Wisconsin |
| Phone Number | 7155631586 |
| Fax Number | 7158555062 |
| Sole Proprietor | N |
| Credentials | R.PH. |
NPI Number Detail
| NPI Number | 1083809982 |
|---|---|
| Provider Enumeration Date | 2007-09-13 |
| Last Updated Date | 2012-12-27 |
Provider Mailing Address Detail
| Address | 6725 Otter Creek Rd |
|---|---|
| City | Fall Creek |
| State | Wisconsin (WI) |
| Post Code | 547429378 |
| Phone Number | 7155631586 |
| Fax Number | 7158555062 |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacist |
|---|---|
| Taxonomy | 183500000X |
| Licence No | 10973-040 |
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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 provider identifier assigned to Theodore Shawn Regalia?
The Theodore Shawn Regalia has been issued the NPI (National Provider Identifier) 1083809982 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Theodore Shawn Regalia?
The Theodore Shawn Regalia is physically situated at 6725 Otter Creek Rd, in the city of Fall Creek, state of WI, with the postal code 547429378.
What is Theodore Shawn Regalia's area of expertise and its corresponding taxonomy classification?
The Theodore Shawn Regalia's field of specialization is Pharmacist, and it falls under the taxonomy code 183500000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1083809982 to Theodore Shawn Regalia?
The Centers for Medicare & Medicaid Services originally issued the 1083809982 to Theodore Shawn Regalia on 2007-09-13.
As of what date were the details related to Theodore Shawn Regalia most recently updated or revised?
The information pertaining to Theodore Shawn Regalia, including its address, specialty, and other relevant details, was last updated or revised on 2012-12-27.
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