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NPI Code Detail

MEDICARE: MR. JONATHAN JAMES VOLK RPH

MEDICARE: MR. JONATHAN JAMES VOLK RPH
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
1183500000XPharmacist5302026298MI

General Provider Information

NPI Number : 1518007954
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. JONATHAN JAMES VOLK RPH
Provider Business Mailing Address
First Line : 28 N BARRIE RD
Second Line :
City : BAD AXE
State : MI
Zip : 48413-9105
Country : US
Telephone Number : 989-551-9873
Fax Number :
Provider Business Practice Location Address
First Line : 721 N VAN DYKE RD
Second Line :
City : BAD AXE
State : MI
Zip : 48413-9188
Country : US
Telephone Number : 989-269-8061
Fax Number : 989-269-9189
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/07/2007
Last Update Date : 07/08/2007

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