Thomas D Reidenbach in Ukiah - Pharmacy

Thomas D Reidenbach - NPI 1629158308

Thomas D Reidenbach is a Pharmacy in Ukiah, California. Thomas D Reidenbach practices all healthcare services and medical treatments related to Pharmacy. The NPI Number for Thomas D Reidenbach is 1629158308. The last update date is 2010-07-01.

Thomas D Reidenbach's current location address is 238 Hospital Dr Ste A, Ukiah, California. You can contact this provider via phone number 7074688991 and fax number 7074685272. The mailing address for Thomas D Reidenbach is 238 Hospital Dr Ste A, Ukiah, California. To know further, please read the information below!

Provider Profile Detail

Provider Organization Thomas D Reidenbach
Address 238 Hospital Dr Ste A, Ukiah, California
Phone Number 7074688991
Fax Number 7074685272
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Reidenbach Dale Thomas
Telephone Number 7074688991

NPI Number Detail

NPI Number 1629158308
Provider Enumeration Date 2006-10-16
Last Updated Date 2010-07-01

Provider Mailing Address Detail

Address 238 Hospital Dr Ste A
City Ukiah
State California (CA)
Post Code 954824559
Phone Number 7074688991
Fax Number 7074685272

Provider's Primary Taxonomy Detail

Speciality Pharmacy
Taxonomy 333600000X
Licence No PHY442640
Definition:
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense presc

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
PHY442640 CA --

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FAQs about Thomas D Reidenbach

What is the unique 10-digit identification code issued to Thomas D Reidenbach by the Centers for Medicare & Medicaid Services?

The Thomas D Reidenbach has been assigned the NPI (National Provider Identifier) 1629158308 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Can you provide the Thomas D Reidenbach's physical address?

The Thomas D Reidenbach is physically located at 238 Hospital Dr Ste A, in the city of Ukiah, CA, with the postal code 954824559.

What is Thomas D Reidenbach's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Thomas D Reidenbach is Pharmacy, and the taxonomy classification code that categorizes this area of expertise is 333600000X.

On what date was the 1629158308 assigned to Thomas D Reidenbach?

The Thomas D Reidenbach was issued its 1629158308 on 2006-10-16, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the Thomas D Reidenbach's details last updated?

The information pertaining to the Thomas D Reidenbach, including its address, specialty, and other details, was most recently updated on 2010-07-01.

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