Brian Fontaine Keys in Riverside - Compounding Pharmacy
Brian Fontaine Keys - NPI 1184736001
Brian Fontaine Keys is a Compounding Pharmacy in Riverside, California. Brian Fontaine Keys practices all healthcare services and medical treatments related to Compounding Pharmacy. The NPI Number for Brian Fontaine Keys is 1184736001. The last update date is 2018-07-19.
Brian Fontaine Keys's current location address is 4510 Brockton Ave Ste 107, Riverside, California. You can contact this provider via phone number 9516831200 and fax number 9516838078. The mailing address for Brian Fontaine Keys is 4510 Brockton Ave Ste 107, Riverside, California. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Brian Fontaine Keys |
---|---|
Address | 4510 Brockton Ave Ste 107, Riverside, California |
Phone Number | 9516831200 |
Fax Number | 9516838078 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | RPH |
---|---|
Authorized Official Name | Keyes Brian |
Telephone Number | 9516831200 |
NPI Number Detail
NPI Number | 1184736001 |
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Provider Enumeration Date | 2006-08-31 |
Last Updated Date | 2018-07-19 |
Provider Mailing Address Detail
Address | 4510 Brockton Ave Ste 107 |
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City | Riverside |
State | California (CA) |
Post Code | 925014020 |
Phone Number | 9516831200 |
Fax Number | 9516838078 |
Provider's Primary Taxonomy Detail
Speciality | Compounding Pharmacy |
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Taxonomy | 3336C0004X |
Definition: A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional pract |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
2116108 | PK | ||
PHY22224 | CA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Brian Fontaine Keys by the Centers for Medicare & Medicaid Services?
The Brian Fontaine Keys has been issued the NPI (National Provider Identifier) 1184736001 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Brian Fontaine Keys is located?
The Brian Fontaine Keys is situated at the following address: 4510 Brockton Ave Ste 107, Riverside, CA, 925014020.
What is Brian Fontaine Keys'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 Brian Fontaine Keys is Compounding Pharmacy, and the taxonomy classification code that categorizes this area of expertise is 3336C0004X.
When did Brian Fontaine Keys receive its 1184736001 assignment?
The Brian Fontaine Keys was assigned its 1184736001 on 2006-08-31, which is the date when this unique identifier was issued to the organization.
As of what date were the details related to Brian Fontaine Keys most recently updated or revised?
The information pertaining to Brian Fontaine Keys, including its address, specialty, and other relevant details, was last updated or revised on 2018-07-19.
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