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NPI Code Detail

MEDICARE: DR. JAIME L CRONIN PHARMD

MEDICARE: DR. JAIME L CRONIN PHARMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist13130-040WI

General Provider Information

NPI Number : 1023304144
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JAIME L CRONIN PHARMD
Provider Business Mailing Address
First Line : 2950 S CHASE AVE
Second Line :
City : MILWAUKEE
State : WI
Zip : 53207-6407
Country : US
Telephone Number : 414-483-1190
Fax Number :
Provider Business Practice Location Address
First Line : 2950 S CHASE AVE
Second Line :
City : MILWAUKEE
State : WI
Zip : 53207-6407
Country : US
Telephone Number : 414-483-1190
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/27/2011
Last Update Date : 06/27/2011

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