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NPI Code Detail

MEDICARE: DR. HEATHER HUMMEL JENKINS PHARMD

MEDICARE: DR. HEATHER HUMMEL JENKINS 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
1183500000XPharmacist04345RI

General Provider Information

NPI Number : 1417550633
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. HEATHER HUMMEL JENKINS PHARMD
Provider Business Mailing Address
First Line : 120 EDDIE DOWLING HWY
Second Line :
City : NORTH SMITHFIELD
State : RI
Zip : 02896-8214
Country : US
Telephone Number : 401-762-3172
Fax Number : 401-762-0016
Provider Business Practice Location Address
First Line : 120 EDDIE DOWLING HWY
Second Line :
City : NORTH SMITHFIELD
State : RI
Zip : 02896-8214
Country : US
Telephone Number : 401-762-3172
Fax Number : 401-762-0016
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/19/2020
Last Update Date : 11/19/2020

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Directions to “ DR. HEATHER HUMMEL JENKINS PHARMD” Practice Location

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