Mary Jill Leisure in Clear Lake - Pharmacotherapy
Mary Jill Leisure - NPI 1073648804
Mary Jill Leisure is a Pharmacotherapy in Clear Lake, Iowa. Mary Jill Leisure practices all healthcare services and medical treatments related to Pharmacotherapy. The NPI Number for Mary Jill Leisure is 1073648804. The last update date is 2007-07-08.
Mary Jill Leisure's current location address is 1 Country Club Pl, Clear Lake, Iowa. You can contact this provider via phone number 6414246847 and fax number 6414246876. The mailing address for Mary Jill Leisure is 1 Country Club Pl, Clear Lake, Iowa. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary Jill Leisure |
|---|---|
| Address | 1 Country Club Pl, Clear Lake, Iowa |
| Phone Number | 6414246847 |
| Fax Number | 6414246876 |
| Sole Proprietor | N |
| Credentials | PHARM D |
NPI Number Detail
| NPI Number | 1073648804 |
|---|---|
| Provider Enumeration Date | 2007-02-22 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1 Country Club Pl |
|---|---|
| City | Clear Lake |
| State | Iowa (IA) |
| Post Code | 504281218 |
| Phone Number | 6414246847 |
| Fax Number | 6414246876 |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacotherapy |
|---|---|
| Taxonomy | 1835P1200X |
| Licence No | 18314 |
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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 Mary Jill Leisure by the Centers for Medicare & Medicaid Services?
The Mary Jill Leisure has been issued the NPI (National Provider Identifier) 1073648804, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Mary Jill Leisure's facilities are situated?
The facilities of Mary Jill Leisure are physically located at the following address: 1 Country Club Pl, Clear Lake, IA, 504281218.
What is Mary Jill Leisure's area of expertise and its corresponding taxonomy classification?
The Mary Jill Leisure's field of specialization is Pharmacotherapy, and it falls under the taxonomy code 1835P1200X, which categorizes healthcare providers based on their areas of practice.
On what date did the Mary Jill Leisure receive its 1073648804 assignment from the Centers for Medicare & Medicaid Services?
The Mary Jill Leisure was assigned its 1073648804 by the Centers for Medicare & Medicaid Services on 2007-02-22.
When was the Mary Jill Leisure's information last updated?
The Mary Jill Leisure's information was last updated on 2007-07-08.
NPI Number: 1215930425
Address: 224 W Exchange St, Akron, OH