Mark C. Granberry in San Antonio - Pharmacotherapy
Mark C. Granberry - NPI 1023159555
Mark C. Granberry is a Pharmacotherapy in San Antonio, Texas. Mark C. Granberry practices all healthcare services and medical treatments related to Pharmacotherapy. The NPI Number for Mark C. Granberry is 1023159555. The last update date is 2009-02-06.
Mark C. Granberry's current location address is 4301 Broadway St, San Antonio, Texas. You can contact this provider via phone number 2108053025. The mailing address for Mark C. Granberry is 4301 Broadway St, San Antonio, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark C. Granberry |
|---|---|
| Address | 4301 Broadway St, San Antonio, Texas |
| Phone Number | 2108053025 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PHARM.D. |
NPI Number Detail
| NPI Number | 1023159555 |
|---|---|
| Provider Enumeration Date | 2007-02-09 |
| Last Updated Date | 2009-02-06 |
Provider Mailing Address Detail
| Address | 4301 Broadway St |
|---|---|
| City | San Antonio |
| State | Texas (TX) |
| Post Code | 782096318 |
| Phone Number | 2108053025 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacotherapy |
|---|---|
| Taxonomy | 1835P1200X |
| Licence No | 41497 |
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Definition: A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing pharmacotherapeutic care of patients, by developing, implementing, monitoring, and modifying complex treatment plans, providing advanced level education and cons |
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What is the unique 10-digit identification code assigned to Mark C. Granberry by the Centers for Medicare & Medicaid Services?
The Mark C. Granberry has been issued the NPI (National Provider Identifier) 1023159555, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Mark C. Granberry?
The Mark C. Granberry is situated at 4301 Broadway St, in the city of San Antonio, state of TX, with the zip code 782096318.
What is Mark C. Granberry's specialized field of practice, and what is the corresponding taxonomy classification code?
The Mark C. Granberry's area of specialization is Pharmacotherapy, and the corresponding taxonomy code that categorizes this field of practice is 1835P1200X.
When did the Mark C. Granberry receive its 1023159555?
The Mark C. Granberry was issued its 1023159555 on 2007-02-09, which is the date when the organization was assigned this unique identifier.
When was the information regarding Mark C. Granberry most recently updated?
The details pertaining to the Mark C. Granberry, including its address, specialty, and other relevant information, were last refreshed on 2009-02-06.
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