Pine Knob Pharmacy #4 in Clarkston - Durable Medical Equipment & Medical Supplies
Pine Knob Pharmacy #4 - NPI 1629256169
Pine Knob Pharmacy #4 is a Durable Medical Equipment & Medical Supplies in Clarkston, Michigan. Pine Knob Pharmacy #4 practices all healthcare services and medical treatments related to Durable Medical Equipment & Medical Supplies. The NPI Number for Pine Knob Pharmacy #4 is 1629256169. The last update date is 2008-02-06.
Pine Knob Pharmacy #4's current location address is 5710 Bella Rosa Blvd, Clarkston, Michigan. You can contact this provider via phone number 2486200296. The mailing address for Pine Knob Pharmacy #4 is 5710 Bella Rosa Blvd, Clarkston, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Pine Knob Pharmacy #4 |
|---|---|
| Address | 5710 Bella Rosa Blvd, Clarkston, Michigan |
| Phone Number | 2486200296 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MANAGER |
|---|---|
| Authorized Official Name | Plas Jay Anthony |
| Credentials | PHARM.D. |
| Telephone Number | 2486200296 |
NPI Number Detail
| NPI Number | 1629256169 |
|---|---|
| Provider Enumeration Date | 2008-02-06 |
| Last Updated Date | 2008-02-06 |
Provider Mailing Address Detail
| Address | 5710 Bella Rosa Blvd |
|---|---|
| City | Clarkston |
| State | Michigan (MI) |
| Post Code | 483484773 |
| Phone Number | 2486200296 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Durable Medical Equipment & Medical Supplies |
|---|---|
| Taxonomy | 332B00000X |
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Definition: A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. |
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What is the unique 10-digit identification code assigned to Pine Knob Pharmacy #4 by the Centers for Medicare & Medicaid Services?
The Pine Knob Pharmacy #4 has been issued the NPI (National Provider Identifier) 1629256169, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Pine Knob Pharmacy #4?
The Pine Knob Pharmacy #4 is physically situated at 5710 Bella Rosa Blvd, in the city of Clarkston, state of MI, with the postal code 483484773.
What is the area of specialization for Pine Knob Pharmacy #4, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Pine Knob Pharmacy #4 is Durable Medical Equipment & Medical Supplies, and the corresponding taxonomy code that categorizes this area of expertise is 332B00000X.
On what date did the Pine Knob Pharmacy #4 receive its 1629256169 assignment from the Centers for Medicare & Medicaid Services?
The Pine Knob Pharmacy #4 was assigned its 1629256169 by the Centers for Medicare & Medicaid Services on 2008-02-06.
As of what date was the information pertaining to Pine Knob Pharmacy #4, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Pine Knob Pharmacy #4, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2008-02-06.