MEDICARE: JIEMEI ZHANG

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	19119-40	WI

General Provider Information

NPI Number	:	1609475870
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JIEMEI ZHANG

Provider Business Mailing Address
First Line	:	222 N CHICAGO AVE
Second Line	:
City	:	SOUTH MILWAUKEE
State	:	WI
Zip	:	53172-1241
Country	:	US
Telephone Number	:	414-501-1122
Fax Number	:	414-501-1125

Provider Business Practice Location Address
First Line	:	222 N CHICAGO AVE
Second Line	:
City	:	SOUTH MILWAUKEE
State	:	WI
Zip	:	53172-1241
Country	:	US
Telephone Number	:	414-501-1122
Fax Number	:	414-501-1125

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

Provider Enumeration Date	:	10/20/2020
Last Update Date	:	10/20/2020

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Directions to “ JIEMEI ZHANG ” Practice Location

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