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NPI Code Detail

MEDICARE: JENNIFER HOOVER CERTIFIED PHARM TECH

MEDICARE: JENNIFER HOOVER CERTIFIED PHARM TECH
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
1183700000XPharmacy Technician14-112160KS

General Provider Information

NPI Number : 1023622578
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER HOOVER CERTIFIED PHARM TECH
Provider Business Mailing Address
First Line : 1732 SW KENT PL
Second Line :
City : TOPEKA
State : KS
Zip : 66604-3638
Country : US
Telephone Number : 785-383-8841
Fax Number :
Provider Business Practice Location Address
First Line : 3630 SW WANAMAKER RD
Second Line :
City : TOPEKA
State : KS
Zip : 66614-4528
Country : US
Telephone Number : 785-228-5656
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/02/2020
Last Update Date : 09/02/2020

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Directions to “ JENNIFER HOOVER CERTIFIED PHARM TECH” Practice Location

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