Charles Donovan Tiller in Shreveport - Pharmacist
Charles Donovan Tiller - NPI 1447263777
Charles Donovan Tiller is a Pharmacist in Shreveport, Louisiana. Charles Donovan Tiller practices all healthcare services and medical treatments related to Pharmacist. The NPI Number for Charles Donovan Tiller is 1447263777. The last update date is 2007-07-08.
Charles Donovan Tiller's current location address is 510 East Stoner Avenue, Shreveport, Louisiana. You can contact this provider via phone number 3182218411 and fax number 3184295750. The mailing address for Charles Donovan Tiller is 510 East Stoner Avenue, Shreveport, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Charles Donovan Tiller |
|---|---|
| Address | 510 East Stoner Avenue, Shreveport, Louisiana |
| Phone Number | 3182218411 |
| Fax Number | 3184295750 |
| Sole Proprietor | N |
| Credentials | PHARMD |
NPI Number Detail
| NPI Number | 1447263777 |
|---|---|
| Provider Enumeration Date | 2006-08-15 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 510 East Stoner Avenue |
|---|---|
| City | Shreveport |
| State | Louisiana (LA) |
| Post Code | 711014295 |
| Phone Number | 3182218411 |
| Fax Number | 3184295750 |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacist |
|---|---|
| Taxonomy | 183500000X |
| Licence No | 26491 |
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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 Charles Donovan Tiller's 1447263777?
The Charles Donovan Tiller's NPI (National Provider Identifier) Number is 1447263777. 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 address where Charles Donovan Tiller is geographically located?
The Charles Donovan Tiller is physically situated at the following location: 510 East Stoner Avenue, Shreveport, LA, 711014295.
What is Charles Donovan Tiller's specialized field of practice, and what is the corresponding taxonomy classification code?
The Charles Donovan Tiller's area of specialization is Pharmacist, and the corresponding taxonomy code that categorizes this field of practice is 183500000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1447263777 to Charles Donovan Tiller?
The Centers for Medicare & Medicaid Services originally issued the 1447263777 to Charles Donovan Tiller on 2006-08-15.
As of what date was the information regarding Charles Donovan Tiller, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Charles Donovan Tiller, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.