Malene Elizabeth Petty in Rockford - Pharmacist
Malene Elizabeth Petty - NPI 1568684512
Malene Elizabeth Petty is a Pharmacist in Rockford, Illinois. Malene Elizabeth Petty practices all healthcare services and medical treatments related to Pharmacist. The NPI Number for Malene Elizabeth Petty is 1568684512. The last update date is 2019-08-20.
Malene Elizabeth Petty's current location address is 7219 Walton St, Rockford, Illinois. You can contact this provider via phone number 8153997195 and fax number 8153997273. The mailing address for Malene Elizabeth Petty is 7219 Walton St, Rockford, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Malene Elizabeth Petty |
|---|---|
| Address | 7219 Walton St, Rockford, Illinois |
| Phone Number | 8153997195 |
| Fax Number | 8153997273 |
| Sole Proprietor | Y |
| Credentials | PHARMD |
NPI Number Detail
| NPI Number | 1568684512 |
|---|---|
| Provider Enumeration Date | 2007-05-02 |
| Last Updated Date | 2019-08-20 |
Provider Mailing Address Detail
| Address | 7219 Walton St |
|---|---|
| City | Rockford |
| State | Illinois (IL) |
| Post Code | 611082607 |
| Phone Number | 8153997195 |
| Fax Number | 8153997273 |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacist |
|---|---|
| Taxonomy | 183500000X |
| Licence No | 51.290837 |
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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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Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Malene Elizabeth Petty by the Centers for Medicare & Medicaid Services?
The Malene Elizabeth Petty has been issued the NPI (National Provider Identifier) 1568684512, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Malene Elizabeth Petty's facilities are geographically located?
The facilities of Malene Elizabeth Petty are physically situated at the following location: 7219 Walton St, Rockford, IL, 611082607.
What is Malene Elizabeth Petty's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Malene Elizabeth Petty's specialized field of practice is Pharmacist, and the corresponding taxonomy code that categorizes this area of specialization is 183500000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1568684512 to Malene Elizabeth Petty?
The Centers for Medicare & Medicaid Services originally issued the 1568684512 to Malene Elizabeth Petty on 2007-05-02.
As of what date were the details pertaining to Malene Elizabeth Petty last refreshed?
The information related to the Malene Elizabeth Petty, including its address, specialty, and other relevant details, was last updated on 2019-08-20.
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