Jonathan William Strom in Green Bay - Pharmacist
Jonathan William Strom - NPI 1063423200
Jonathan William Strom is a Pharmacist in Green Bay, Wisconsin. Jonathan William Strom practices all healthcare services and medical treatments related to Pharmacist. The NPI Number for Jonathan William Strom is 1063423200. The last update date is 2007-07-08.
Jonathan William Strom's current location address is 2987 Fleetwood Dr, Green Bay, Wisconsin. You can contact this provider via phone number 9204319006. The mailing address for Jonathan William Strom is 2987 Fleetwood Dr, Green Bay, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jonathan William Strom |
|---|---|
| Address | 2987 Fleetwood Dr, Green Bay, Wisconsin |
| Phone Number | 9204319006 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | RPH |
NPI Number Detail
| NPI Number | 1063423200 |
|---|---|
| Provider Enumeration Date | 2006-08-11 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2987 Fleetwood Dr |
|---|---|
| City | Green Bay |
| State | Wisconsin (WI) |
| Post Code | 54313 |
| Phone Number | 9204319006 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacist |
|---|---|
| Taxonomy | 183500000X |
| Licence No | 12561040 |
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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 |
|---|---|---|---|
| 5124689 | NCPDP | ||
| 33233700 | WI | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Jonathan William Strom by the Centers for Medicare & Medicaid Services?
The Jonathan William Strom has been assigned the NPI (National Provider Identifier) 1063423200 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Jonathan William Strom is geographically located?
The Jonathan William Strom is physically situated at the following location: 2987 Fleetwood Dr, Green Bay, WI, 54313.
What is Jonathan William Strom's specialized field of practice, and what is the corresponding taxonomy classification code?
The Jonathan William Strom's area of specialization is Pharmacist, and the corresponding taxonomy code that categorizes this field of practice is 183500000X.
On what date did Jonathan William Strom receive its 1063423200 assignment from the Centers for Medicare & Medicaid Services?
The Jonathan William Strom was assigned its 1063423200 on 2006-08-11, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Jonathan William Strom last refreshed?
The information related to the Jonathan William Strom, including its address, specialty, and other relevant details, was last updated on 2007-07-08.