MEDICARE: CATHERINE PEARL JANNEY

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	03327146	OH

General Provider Information

NPI Number	:	1235733692
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CATHERINE PEARL JANNEY

Provider Business Mailing Address
First Line	:	32 N LUDLOW ST
Second Line	:
City	:	DAYTON
State	:	OH
Zip	:	45402-1826
Country	:	US
Telephone Number	:	937-228-9145
Fax Number	:

Provider Business Practice Location Address
First Line	:	32 N LUDLOW ST
Second Line	:
City	:	DAYTON
State	:	OH
Zip	:	45402-1826
Country	:	US
Telephone Number	:	937-228-9145
Fax Number	:

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

Provider Enumeration Date	:	11/25/2020
Last Update Date	:	11/25/2020

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Directions to “ CATHERINE PEARL JANNEY ” Practice Location

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