Shannon M Dewitt in Fort Wayne - Pharmacist
Shannon M Dewitt - NPI 1952512196
Shannon M Dewitt is a Pharmacist in Fort Wayne, Indiana. Shannon M Dewitt practices all healthcare services and medical treatments related to Pharmacist. The NPI Number for Shannon M Dewitt is 1952512196. The last update date is 2007-07-08.
Shannon M Dewitt's current location address is 7950 W Jefferson Blvd, Fort Wayne, Indiana. You can contact this provider via phone number 2604357702 and fax number 2604356869. The mailing address for Shannon M Dewitt is 7950 W Jefferson Blvd, Fort Wayne, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shannon M Dewitt |
|---|---|
| Address | 7950 W Jefferson Blvd, Fort Wayne, Indiana |
| Phone Number | 2604357702 |
| Fax Number | 2604356869 |
| Sole Proprietor | N |
| Credentials | PHARMD |
NPI Number Detail
| NPI Number | 1952512196 |
|---|---|
| Provider Enumeration Date | 2007-05-26 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 7950 W Jefferson Blvd |
|---|---|
| City | Fort Wayne |
| State | Indiana (IN) |
| Post Code | 468044140 |
| Phone Number | 2604357702 |
| Fax Number | 2604356869 |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacist |
|---|---|
| Taxonomy | 183500000X |
| Licence No | 26019698A |
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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 Shannon M Dewitt by the Centers for Medicare & Medicaid Services?
The Shannon M Dewitt has been issued the NPI (National Provider Identifier) 1952512196, 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 Shannon M Dewitt's facilities are geographically located?
The facilities of Shannon M Dewitt are physically situated at the following location: 7950 W Jefferson Blvd, Fort Wayne, IN, 468044140.
What is Shannon M Dewitt's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Shannon M Dewitt'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 issue the 1952512196 to Shannon M Dewitt?
The Shannon M Dewitt received its 1952512196 assignment from the Centers for Medicare & Medicaid Services on 2007-05-26.
As of what date were the details related to Shannon M Dewitt most recently updated or revised?
The information pertaining to Shannon M Dewitt, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
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