MEDICARE: JENNIFER DOREEN HOWARD 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	28RI03102400	NJ

General Provider Information

NPI Number	:	1538669544
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNIFER DOREEN HOWARD PHARMD

Provider Business Mailing Address
First Line	:	354 RAINEY RD
Second Line	:
City	:	SWEDESBORO
State	:	NJ
Zip	:	08085-3013
Country	:	US
Telephone Number	:	856-294-9447
Fax Number	:

Provider Business Practice Location Address
First Line	:	3605 EDGMONT AVE
Second Line	:
City	:	BROOKHAVEN
State	:	PA
Zip	:	19015-2807
Country	:	US
Telephone Number	:	610-499-9040
Fax Number	:

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

Provider Enumeration Date	:	02/16/2018
Last Update Date	:	02/16/2018

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