MEDICARE: DR. JEANNE FRENZEL 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
1	183500000X	Pharmacist	4920	ND

General Provider Information

NPI Number	:	1164698742
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JEANNE FRENZEL PHARMD

Provider Business Mailing Address
First Line	:	1401 ALBRECHT BOULEVARD
Second Line	:	NORTH DAKOTA STATE UNIVERSITY
City	:	FARGO
State	:	ND
Zip	:	58105-2722
Country	:	US
Telephone Number	:	701-231-8546
Fax Number	:

Provider Business Practice Location Address
First Line	:	1401 ALBRECHT BOULEVARD
Second Line	:	NORTH DAKOTA STATE UNIVERSITY
City	:	FARGO
State	:	ND
Zip	:	58105-2722
Country	:	US
Telephone Number	:	701-231-8546
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/05/2008
Last Update Date	:	05/05/2008

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