MEDICARE: DR. DAVID RICHARD JARNOT PHARM D.

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	PH00067205	WA
2	183500000X	Pharmacist	03-1-27448	OH

General Provider Information

NPI Number	:	1770674772
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID RICHARD JARNOT PHARM D.

Provider Business Mailing Address
First Line	:	31 MDG BLDG 121
Second Line	:	ROOM GC45
City	:	APO
State	:	AE
Zip	:	09601
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	31 MDG BLDG 121
Second Line	:	ROOM GC45
City	:	APO
State	:	AE
Zip	:	09601
Country	:	US
Telephone Number	:	509-247-3355
Fax Number	:

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

Provider Enumeration Date	:	09/27/2006
Last Update Date	:	04/09/2018

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