James David Deason in Tyler - Pharmacist

James David Deason - NPI 1104905017

James David Deason is a Pharmacist in Tyler, Texas. James David Deason practices all healthcare services and medical treatments related to Pharmacist. The NPI Number for James David Deason is 1104905017. The last update date is 2007-07-08.

James David Deason's current location address is 113 N Northwest Loop 323, Tyler, Texas. You can contact this provider via phone number 9035935369 and fax number 9035933490. The mailing address for James David Deason is 113 N Northwest Loop 323, Tyler, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Name James David Deason
Address 113 N Northwest Loop 323, Tyler, Texas
Phone Number 9035935369
Fax Number 9035933490
Sole Proprietor N
Credentials RPH

NPI Number Detail

NPI Number 1104905017
Provider Enumeration Date 2006-11-02
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 113 N Northwest Loop 323
City Tyler
State Texas (TX)
Post Code 757028725
Phone Number 9035935369
Fax Number 9035933490

Provider's Primary Taxonomy Detail

Speciality Pharmacist
Taxonomy 183500000X
Licence No 18333
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
18333 TX PHARMACIST

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FAQs about James David Deason

What is the James David Deason's 1104905017?

The James David Deason's NPI (National Provider Identifier) Number is 1104905017. 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 James David Deason is geographically located?

The James David Deason is physically situated at the following location: 113 N Northwest Loop 323, Tyler, TX, 757028725.

What is James David Deason's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The James David Deason's specialized field of practice is Pharmacist, and the corresponding taxonomy code that categorizes this area of specialization is 183500000X.

On what date did James David Deason receive its 1104905017 assignment from the Centers for Medicare & Medicaid Services?

The James David Deason was assigned its 1104905017 on 2006-11-02, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information regarding James David Deason, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to James David Deason, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.

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