Thomas Richard Berg in Inchelium - Indian Health Service/tribal/urban Indian Health (i/t/u) Pharmacy
Thomas Richard Berg - NPI 1255485355
Thomas Richard Berg is a Indian Health Service/tribal/urban Indian Health (i/t/u) Pharmacy in Inchelium, Washington. Thomas Richard Berg practices all healthcare services and medical treatments related to Indian Health Service/tribal/urban Indian Health (i/t/u) Pharmacy. The NPI Number for Thomas Richard Berg is 1255485355. The last update date is 2007-07-08.
Thomas Richard Berg's current location address is Po Box 290, Inchelium, Washington. You can contact this provider via phone number 5097227009 and fax number 5097227021. The mailing address for Thomas Richard Berg is Po Box 290, Inchelium, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Thomas Richard Berg |
|---|---|
| Address | Po Box 290, Inchelium, Washington |
| Phone Number | 5097227009 |
| Fax Number | 5097227021 |
| Sole Proprietor | Y |
| Credentials | R.PH. |
NPI Number Detail
| NPI Number | 1255485355 |
|---|---|
| Provider Enumeration Date | 2007-01-23 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | Po Box 290 |
|---|---|
| City | Inchelium |
| State | Washington (WA) |
| Post Code | 991380290 |
| Phone Number | 5097227009 |
| Fax Number | 5097227021 |
Provider's Primary Taxonomy Detail
| Speciality | Indian Health Service/tribal/urban Indian Health (i/t/u) Pharmacy |
|---|---|
| Taxonomy | 332800000X |
| Licence No | CF00003827 |
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Definition: An Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy means a pharmacy operated by the Indian Health Service, an Indian tribe or tribal organization, or an urban Indian organization, all of which are defined in Section 4 of the Indian |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4924735 | WA | NABP | |
| CF00003827 | WA | PHARMACY LICENSE | |
| 6008767 | WA | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Thomas Richard Berg?
The Thomas Richard Berg has been issued the NPI (National Provider Identifier) 1255485355 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical location address where Thomas Richard Berg's facilities are situated?
The facilities of Thomas Richard Berg are physically located at the following address: Po Box 290, Inchelium, WA, 991380290.
What is Thomas Richard Berg's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Thomas Richard Berg's specialized field of practice is Indian Health Service/tribal/urban Indian Health (i/t/u) Pharmacy, and the corresponding taxonomy code that categorizes this area of specialization is 332800000X.
When did Thomas Richard Berg receive its 1255485355 assignment?
The Thomas Richard Berg was assigned its 1255485355 on 2007-01-23, which is the date when this unique identifier was issued to the organization.
When was the Thomas Richard Berg's information last updated?
The Thomas Richard Berg's information was last updated on 2007-07-08.
NPI Number: 1215930425
Address: 224 W Exchange St, Akron, OH