Raisa Koltun is a Pharmacist in Madison, Wisconsin. Raisa Koltun practices all healthcare services and medical treatments related to Pharmacist. The NPI Number for Raisa Koltun is 1275606055. The last update date is 2007-07-08.
Raisa Koltun's current location address is 600 Highland Ave, Madison, Wisconsin. You can contact this provider via phone number 6082631290. The mailing address for Raisa Koltun is 600 Highland Ave, Madison, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Raisa Koltun |
|---|---|
| Address | 600 Highland Ave, Madison, Wisconsin |
| Phone Number | 6082631290 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PHARM.D. |
NPI Number Detail
| NPI Number | 1275606055 |
|---|---|
| Provider Enumeration Date | 2006-11-17 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 600 Highland Ave |
|---|---|
| City | Madison |
| State | Wisconsin (WI) |
| Post Code | 537920001 |
| Phone Number | 6082631290 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacist |
|---|---|
| Taxonomy | 183500000X |
| Licence No | 14795 |
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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 |
|---|---|---|---|
| 14795 | WI | PHARMACIST |
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What is the unique 10-digit identification code issued to Raisa Koltun by the Centers for Medicare & Medicaid Services?
The Raisa Koltun has been assigned the NPI (National Provider Identifier) 1275606055 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Where is the Raisa Koltun located?
The Raisa Koltun is located at 600 Highland Ave, Madison, WI 537920001.
What is Raisa Koltun's area of expertise and its corresponding taxonomy classification?
The Raisa Koltun's field of specialization is Pharmacist, and it falls under the taxonomy code 183500000X, which categorizes healthcare providers based on their areas of practice.
When was the Raisa Koltun's 1275606055 issued?
The Raisa Koltun's 1275606055 was issued on 2006-11-17.
When was the information regarding Raisa Koltun, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Raisa Koltun, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.