David Edward Detienne in Grantsburg - Pharmacist
David Edward Detienne - NPI 1174663363
David Edward Detienne is a Pharmacist in Grantsburg, Wisconsin. David Edward Detienne practices all healthcare services and medical treatments related to Pharmacist. The NPI Number for David Edward Detienne is 1174663363. The last update date is 2007-07-08.
David Edward Detienne's current location address is 329 W Wisconsin Ave, Grantsburg, Wisconsin. You can contact this provider via phone number 7154633743. The mailing address for David Edward Detienne is 329 W Wisconsin Ave, Grantsburg, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | David Edward Detienne |
|---|---|
| Address | 329 W Wisconsin Ave, Grantsburg, Wisconsin |
| Phone Number | 7154633743 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | RPH |
NPI Number Detail
| NPI Number | 1174663363 |
|---|---|
| Provider Enumeration Date | 2007-02-07 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 329 W Wisconsin Ave |
|---|---|
| City | Grantsburg |
| State | Wisconsin (WI) |
| Post Code | 548407818 |
| Phone Number | 7154633743 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacist |
|---|---|
| Taxonomy | 183500000X |
| Licence No | 11821-040 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 11821-040 | WI | WISCONS PHARMACIST LICENS |
Post Comment/ Review Below
What is the David Edward Detienne's 1174663363?
The David Edward Detienne's NPI (National Provider Identifier) Number is 1174663363. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where David Edward Detienne is geographically located?
The David Edward Detienne is physically situated at the following location: 329 W Wisconsin Ave, Grantsburg, WI, 548407818.
What is David Edward Detienne's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The David Edward Detienne's specialized field of practice is Pharmacist, and the corresponding taxonomy code that categorizes this area of specialization is 183500000X.
When did the David Edward Detienne receive its 1174663363?
The David Edward Detienne was issued its 1174663363 on 2007-02-07, which is the date when the organization was assigned this unique identifier.
As of what date were the details pertaining to David Edward Detienne last refreshed?
The information related to the David Edward Detienne, including its address, specialty, and other relevant details, was last updated on 2007-07-08.
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