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NPI Code Detail

MEDICARE: MR. JAMES ARTHUR ZIMMER JR. RPH

MEDICARE:  MR. JAMES ARTHUR ZIMMER JR. RPH
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
1183500000XPharmacistPS38132FL

General Provider Information

NPI Number : 1124438049
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. JAMES ARTHUR ZIMMER JR. RPH
Provider Business Mailing Address
First Line : 610 EGLIN PKWY NE
Second Line :
City : FORT WALTON BEACH
State : FL
Zip : 32547-2832
Country : US
Telephone Number : 850-862-6185
Fax Number :
Provider Business Practice Location Address
First Line : 610 EGLIN PKWY NE
Second Line :
City : FORT WALTON BEACH
State : FL
Zip : 32547-2832
Country : US
Telephone Number : 850-862-6185
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/30/2014
Last Update Date : 04/30/2014

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