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NPI Code Detail

MEDICARE: JEREMY H JOHNSEY RPH

MEDICARE: JEREMY H JOHNSEY 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
1183500000XPharmacist13659AL

General Provider Information

NPI Number : 1598064990
Entity Type Code : Individual
Provider Name (Legal Business Name) : JEREMY H JOHNSEY RPH
Provider Business Mailing Address
First Line : 85 BURNHAM ST
Second Line :
City : BIRMINGHAM
State : AL
Zip : 35242-1803
Country : US
Telephone Number : 205-903-0381
Fax Number :
Provider Business Practice Location Address
First Line : 34 MANNING PL
Second Line :
City : BIRMINGHAM
State : AL
Zip : 35242-1809
Country : US
Telephone Number : 205-991-5265
Fax Number : 205-991-5295
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/24/2011
Last Update Date : 02/10/2020

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