Brent Justin Icenhour in Spencer - Pharmacist
Brent Justin Icenhour - NPI 1588811863
Brent Justin Icenhour is a Pharmacist in Spencer, North Carolina. Brent Justin Icenhour practices all healthcare services and medical treatments related to Pharmacist. The NPI Number for Brent Justin Icenhour is 1588811863. The last update date is 2008-08-19.
Brent Justin Icenhour's current location address is 317 N Salisbury Ave, Spencer, North Carolina. You can contact this provider via phone number 7046331604 and fax number 7046339660. The mailing address for Brent Justin Icenhour is 317 N Salisbury Ave, Spencer, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brent Justin Icenhour |
|---|---|
| Address | 317 N Salisbury Ave, Spencer, North Carolina |
| Phone Number | 7046331604 |
| Fax Number | 7046339660 |
| Sole Proprietor | Y |
| Credentials | PHARM.D. |
NPI Number Detail
| NPI Number | 1588811863 |
|---|---|
| Provider Enumeration Date | 2008-08-19 |
| Last Updated Date | 2008-08-19 |
Provider Mailing Address Detail
| Address | 317 N Salisbury Ave |
|---|---|
| City | Spencer |
| State | North Carolina (NC) |
| Post Code | 281592513 |
| Phone Number | 7046331604 |
| Fax Number | 7046339660 |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacist |
|---|---|
| Taxonomy | 183500000X |
| Licence No | 19068 |
|
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 |
|
Post Comment/ Review Below
What is the unique identifier code issued to Brent Justin Icenhour by the Centers for Medicare & Medicaid Services (CMS)?
The Brent Justin Icenhour has been assigned the NPI (National Provider Identifier) 1588811863. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Brent Justin Icenhour located?
The Brent Justin Icenhour is located at 317 N Salisbury Ave, Spencer, NC 281592513.
What is the Brent Justin Icenhour's area of specialization and corresponding taxonomy classification?
The Brent Justin Icenhour's specialty field is Pharmacist, and it falls under the taxonomy code 183500000X, which categorizes healthcare providers based on their specialties.
When did the Brent Justin Icenhour receive its 1588811863?
The Brent Justin Icenhour was issued its 1588811863 on 2008-08-19, which is the date when the organization was assigned this unique identifier.
As of what date was the information regarding Brent Justin Icenhour, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Brent Justin Icenhour, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-08-19.