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NPI Code Detail

MEDICARE: ARLENE BULAN JAEGERS PHARMACIST

MEDICARE:   ARLENE BULAN JAEGERS  PHARMACIST
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
1183500000XPharmacist65384TX

General Provider Information

NPI Number : 1558943092
Entity Type Code : Individual
Provider Name (Legal Business Name) : ARLENE BULAN JAEGERS PHARMACIST
Provider Business Mailing Address
First Line : 9620 WHITE SETTLEMENT RD
Second Line :
City : FORT WORTH
State : TX
Zip : 76108-4412
Country : US
Telephone Number : 817-246-2411
Fax Number : 817-246-2621
Provider Business Practice Location Address
First Line : 9620 WHITE SETTLEMENT RD
Second Line :
City : FORT WORTH
State : TX
Zip : 76108-4412
Country : US
Telephone Number : 817-246-2411
Fax Number : 817-246-2621
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/24/2021
Last Update Date : 04/24/2021

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Directions to “ ARLENE BULAN JAEGERS PHARMACIST” Practice Location

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