Joe Buck Park is a Pharmacist in Richardson, Texas. Joe Buck Park practices all healthcare services and medical treatments related to Pharmacist. The NPI Number for Joe Buck Park is 1174626436. The last update date is 2007-07-08.
Joe Buck Park's current location address is 1307 Huntington Dr, Richardson, Texas. You can contact this provider via phone number 9722341920 and fax number 2143636570. The mailing address for Joe Buck Park is 1307 Huntington Dr, Richardson, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Joe Buck Park |
|---|---|
| Address | 1307 Huntington Dr, Richardson, Texas |
| Phone Number | 9722341920 |
| Fax Number | 2143636570 |
| Sole Proprietor | Y |
| Credentials | R. PH. |
NPI Number Detail
| NPI Number | 1174626436 |
|---|---|
| Provider Enumeration Date | 2006-09-05 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1307 Huntington Dr |
|---|---|
| City | Richardson |
| State | Texas (TX) |
| Post Code | 750802810 |
| Phone Number | 9722341920 |
| Fax Number | 2143636570 |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacist |
|---|---|
| Taxonomy | 183500000X |
| Licence No | 15052 |
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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 |
|---|---|---|---|
| 15052 | TX | PHARMACIST LICENSE |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Joe Buck Park by the Centers for Medicare & Medicaid Services?
The Joe Buck Park has been issued the NPI (National Provider Identifier) 1174626436, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Joe Buck Park is located?
The Joe Buck Park is situated at the following address: 1307 Huntington Dr, Richardson, TX, 750802810.
What is Joe Buck Park's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Joe Buck Park is Pharmacist, and the taxonomy classification code that categorizes this area of expertise is 183500000X.
On what date did Joe Buck Park receive its 1174626436 assignment from the Centers for Medicare & Medicaid Services?
The Joe Buck Park was assigned its 1174626436 on 2006-09-05, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Joe Buck Park most recently updated or revised?
The information pertaining to Joe Buck Park, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.