MEDICARE: JENNY EPSTEIN 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	149160-1701	UT

General Provider Information

NPI Number	:	1386807121
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNY EPSTEIN PHARMD

Provider Business Mailing Address
First Line	:	19 14 TARRANT PL
Second Line	:	APT C
City	:	DALLAS
State	:	TX
Zip	:	75208
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	19 14 TARRANT PL
Second Line	:	APT C
City	:	DALLAS
State	:	TX
Zip	:	75208-3049
Country	:	US
Telephone Number	:	734-395-8401
Fax Number	:

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

Provider Enumeration Date	:	07/02/2008
Last Update Date	:	07/02/2008

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Directions to “ JENNY EPSTEIN PHARMD” Practice Location

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