Brook Smith Desrivieres in Marshfield - Pharmacist
Brook Smith Desrivieres - NPI 1467569863
Brook Smith Desrivieres is a Pharmacist in Marshfield, Wisconsin. Brook Smith Desrivieres practices all healthcare services and medical treatments related to Pharmacist. The NPI Number for Brook Smith Desrivieres is 1467569863. The last update date is 2014-06-05.
Brook Smith Desrivieres's current location address is 1113 S Locust Ave, Marshfield, Wisconsin. You can contact this provider via phone number 7153879916 and fax number 7153877650. The mailing address for Brook Smith Desrivieres is 1113 S Locust Ave, Marshfield, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brook Smith Desrivieres |
|---|---|
| Address | 1113 S Locust Ave, Marshfield, Wisconsin |
| Phone Number | 7153879916 |
| Fax Number | 7153877650 |
| Sole Proprietor | N |
| Credentials | PHARM.D. |
NPI Number Detail
| NPI Number | 1467569863 |
|---|---|
| Provider Enumeration Date | 2006-08-23 |
| Last Updated Date | 2014-06-05 |
Provider Mailing Address Detail
| Address | 1113 S Locust Ave |
|---|---|
| City | Marshfield |
| State | Wisconsin (WI) |
| Post Code | 544494033 |
| Phone Number | 7153879916 |
| Fax Number | 7153877650 |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacist |
|---|---|
| Taxonomy | 183500000X |
| Licence No | 03-01-27524 |
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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 |
|---|---|---|---|
| 03-1-27524 | OH | PHARMACIST LICENSE | |
| 5302034164 | MI | PHARMACISTS LICENSE | |
| 15350-40 | WI | STATE OF WISCONSIN |
Post Comment/ Review Below
What is the unique identifier code issued to Brook Smith Desrivieres by the Centers for Medicare & Medicaid Services (CMS)?
The Brook Smith Desrivieres has been assigned the NPI (National Provider Identifier) 1467569863. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of Brook Smith Desrivieres?
The Brook Smith Desrivieres is physically situated at 1113 S Locust Ave, in the city of Marshfield, state of WI, with the postal code 544494033.
What is the area of specialization for Brook Smith Desrivieres, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Brook Smith Desrivieres is Pharmacist, and the corresponding taxonomy code that categorizes this area of expertise is 183500000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1467569863 to Brook Smith Desrivieres?
The Brook Smith Desrivieres received its 1467569863 assignment from the Centers for Medicare & Medicaid Services on 2006-08-23.
When was the information pertaining to Brook Smith Desrivieres most recently updated or revised?
The details related to Brook Smith Desrivieres, including its address, specialty, and other relevant information, were last updated or revised on 2014-06-05.