Susan Marie Kidd is a Pharmacist in Clive, Iowa. Susan Marie Kidd practices all healthcare services and medical treatments related to Pharmacist. The NPI Number for Susan Marie Kidd is 1982819918. The last update date is 2007-07-08.
Susan Marie Kidd's current location address is 14961 Summit Dr, Clive, Iowa. You can contact this provider via phone number 5159872172 and fax number 5152558806. The mailing address for Susan Marie Kidd is 14961 Summit Dr, Clive, Iowa. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Susan Marie Kidd |
|---|---|
| Address | 14961 Summit Dr, Clive, Iowa |
| Phone Number | 5159872172 |
| Fax Number | 5152558806 |
| Sole Proprietor | N |
| Credentials | RPH |
NPI Number Detail
| NPI Number | 1982819918 |
|---|---|
| Provider Enumeration Date | 2007-05-12 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 14961 Summit Dr |
|---|---|
| City | Clive |
| State | Iowa (IA) |
| Post Code | 503257820 |
| Phone Number | 5159872172 |
| Fax Number | 5152558806 |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacist |
|---|---|
| Taxonomy | 183500000X |
| Licence No | 17764 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1614571 | IA | NABP | |
| 233916 | IA | -- | |
| IA17764 | IA | PHARMACIST LICENSE |
Post Comment/ Review Below
What is the Susan Marie Kidd's 1982819918?
The Susan Marie Kidd's NPI (National Provider Identifier) Number is 1982819918. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Susan Marie Kidd's facilities are situated?
The facilities of Susan Marie Kidd are physically located at the following address: 14961 Summit Dr, Clive, IA, 503257820.
What is the area of specialization for Susan Marie Kidd, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Susan Marie Kidd is Pharmacist, and the corresponding taxonomy code that categorizes this area of expertise is 183500000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1982819918 to Susan Marie Kidd?
The Centers for Medicare & Medicaid Services originally issued the 1982819918 to Susan Marie Kidd on 2007-05-12.
When was the information related to Susan Marie Kidd most recently updated or refreshed?
The details pertaining to the Susan Marie Kidd, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.
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