Michael Dean Dickens in Boise - Pharmacist

Michael Dean Dickens - NPI 1972719839

Michael Dean Dickens is a Pharmacist in Boise, Idaho. Michael Dean Dickens practices all healthcare services and medical treatments related to Pharmacist. The NPI Number for Michael Dean Dickens is 1972719839. The last update date is 2007-07-08.

Michael Dean Dickens's current location address is 3876 Tattenham Ave, Boise, Idaho. You can contact this provider via phone number 2083812490 and fax number 2083814501. The mailing address for Michael Dean Dickens is 3876 Tattenham Ave, Boise, Idaho. To know further, please read the information below!

Provider Profile Detail

Provider Name Michael Dean Dickens
Address 3876 Tattenham Ave, Boise, Idaho
Phone Number 2083812490
Fax Number 2083814501
Sole Proprietor Y
Credentials R.PH.

NPI Number Detail

NPI Number 1972719839
Provider Enumeration Date 2007-05-15
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 3876 Tattenham Ave
City Boise
State Idaho (ID)
Post Code 837133657
Phone Number 2083812490
Fax Number 2083814501

Provider's Primary Taxonomy Detail

Speciality Pharmacist
Taxonomy 183500000X
Licence No P4854
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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FAQs about Michael Dean Dickens

What is the unique identification code assigned to Michael Dean Dickens by the Centers for Medicare & Medicaid Services?

The Michael Dean Dickens has been issued the NPI (National Provider Identifier) 1972719839. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Michael Dean Dickens is physically located?

The Michael Dean Dickens is physically situated at the following address: 3876 Tattenham Ave, Boise, ID, 837133657.

What is Michael Dean Dickens's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Michael Dean Dickens is Pharmacist, and the taxonomy classification code that categorizes this area of expertise is 183500000X.

On what date was the 1972719839 assigned to Michael Dean Dickens?

The Michael Dean Dickens was issued its 1972719839 on 2007-05-15, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details related to Michael Dean Dickens most recently updated or revised?

The information pertaining to Michael Dean Dickens, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.

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