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NPI Code Detail

MEDICARE: JENIFER RUTH DEUTMEYER MCGOVERN PHARMD

MEDICARE: JENIFER RUTH DEUTMEYER MCGOVERN 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
1183500000XPharmacist20225IA

General Provider Information

NPI Number : 1245855758
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENIFER RUTH DEUTMEYER MCGOVERN PHARMD
Provider Business Mailing Address
First Line : 2939 197TH ST
Second Line :
City : EARLVILLE
State : IA
Zip : 52041-8603
Country : US
Telephone Number : 563-845-1508
Fax Number :
Provider Business Practice Location Address
First Line : 805 JOHNSON ST SW
Second Line :
City : CASCADE
State : IA
Zip : 52033-8636
Country : US
Telephone Number : 563-852-7757
Fax Number : 563-852-7758
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/10/2020
Last Update Date : 04/28/2026

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Directions to “ JENIFER RUTH DEUTMEYER MCGOVERN PHARMD” Practice Location

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