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NPI Code Detail

MEDICARE: JENNALYN MARIE GARRITY PHARMD

MEDICARE: JENNALYN MARIE GARRITY 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
1183500000XPharmacistRP452712PA

General Provider Information

NPI Number : 1326522889
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNALYN MARIE GARRITY PHARMD
Provider Business Mailing Address
First Line : 29 SAGER RD
Second Line :
City : ELIZABETHTOWN
State : PA
Zip : 17022-2869
Country : US
Telephone Number : 717-305-8529
Fax Number :
Provider Business Practice Location Address
First Line : 360 E MAIN ST
Second Line :
City : MIDDLETOWN
State : PA
Zip : 17057-2232
Country : US
Telephone Number : 717-944-0262
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/20/2018
Last Update Date : 09/20/2018

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