Vaxpro Llc is a Pharmacist in Mequon, Wisconsin. Vaxpro Llc practices all healthcare services and medical treatments related to Pharmacist. The NPI Number for Vaxpro Llc is 1619052172. The last update date is 2020-08-22.
Vaxpro Llc's current location address is 1001 W Glen Oaks Ln, Mequon, Wisconsin. You can contact this provider via phone number 4144038677 and fax number 2622410626. The mailing address for Vaxpro Llc is 1001 W Glen Oaks Ln, Mequon, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Vaxpro Llc |
|---|---|
| Address | 1001 W Glen Oaks Ln, Mequon, Wisconsin |
| Phone Number | 4144038677 |
| Fax Number | 2622410626 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Plavnick Alan Jay |
| Credentials | RPH |
| Telephone Number | 4144038677 |
NPI Number Detail
| NPI Number | 1619052172 |
|---|---|
| Provider Enumeration Date | 2006-10-25 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 1001 W Glen Oaks Ln |
|---|---|
| City | Mequon |
| State | Wisconsin (WI) |
| Post Code | 530923365 |
| Phone Number | 4144038677 |
| Fax Number | 2622410626 |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacist |
|---|---|
| Taxonomy | 183500000X |
| Licence No | 10629-040 |
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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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What is the unique identifier code issued to Vaxpro Llc by the Centers for Medicare & Medicaid Services (CMS)?
The Vaxpro Llc has been assigned the NPI (National Provider Identifier) 1619052172. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete street address where Vaxpro Llc is physically located?
The Vaxpro Llc is physically situated at the following address: 1001 W Glen Oaks Ln, Mequon, WI, 530923365.
What is Vaxpro Llc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Vaxpro Llc's area of specialization is Pharmacist, and the corresponding taxonomy code that categorizes this field of practice is 183500000X.
On what date did the Vaxpro Llc receive its 1619052172 assignment from the Centers for Medicare & Medicaid Services?
The Vaxpro Llc was assigned its 1619052172 by the Centers for Medicare & Medicaid Services on 2006-10-25.
As of what date were the Vaxpro Llc's details last updated?
The information pertaining to the Vaxpro Llc, including its address, specialty, and other details, was most recently updated on 2020-08-22.