Shane Kazuo Komoda in Meridian - Pharmacist
Shane Kazuo Komoda - NPI 1497895353
Shane Kazuo Komoda is a Pharmacist in Meridian, Idaho. Shane Kazuo Komoda practices all healthcare services and medical treatments related to Pharmacist. The NPI Number for Shane Kazuo Komoda is 1497895353. The last update date is 2007-07-08.
Shane Kazuo Komoda's current location address is 2693 E Juliet Dr, Meridian, Idaho. You can contact this provider via phone number 2088307711. The mailing address for Shane Kazuo Komoda is 2693 E Juliet Dr, Meridian, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shane Kazuo Komoda |
|---|---|
| Address | 2693 E Juliet Dr, Meridian, Idaho |
| Phone Number | 2088307711 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PHARM.D. |
NPI Number Detail
| NPI Number | 1497895353 |
|---|---|
| Provider Enumeration Date | 2007-02-08 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2693 E Juliet Dr |
|---|---|
| City | Meridian |
| State | Idaho (ID) |
| Post Code | 836425092 |
| Phone Number | 2088307711 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacist |
|---|---|
| Taxonomy | 183500000X |
| Licence No | P5938 |
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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 Shane Kazuo Komoda by the Centers for Medicare & Medicaid Services (CMS)?
The Shane Kazuo Komoda has been assigned the NPI (National Provider Identifier) 1497895353. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you share the physical location details of Shane Kazuo Komoda?
The Shane Kazuo Komoda is situated at 2693 E Juliet Dr, in the city of Meridian, state of ID, with the zip code 836425092.
What is Shane Kazuo Komoda's specialized field of practice, and what is the corresponding taxonomy classification code?
The Shane Kazuo Komoda's area of specialization is Pharmacist, and the corresponding taxonomy code that categorizes this field of practice is 183500000X.
When did the Shane Kazuo Komoda receive its 1497895353?
The Shane Kazuo Komoda was issued its 1497895353 on 2007-02-08, which is the date when the organization was assigned this unique identifier.
As of what date were the Shane Kazuo Komoda's details last updated?
The information pertaining to the Shane Kazuo Komoda, including its address, specialty, and other details, was most recently updated on 2007-07-08.
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