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NPI Code Detail

MEDICARE: DR. JENNIE M DOTSON PHARMD

MEDICARE:  DR. JENNIE M DOTSON  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
1183500000XPharmacistS014936AZ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1S014936OTHERAZPHARMACIST LICENSE

General Provider Information

NPI Number : 1770868002
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JENNIE M DOTSON PHARMD
Provider Business Mailing Address
First Line : 3130 W CAREFREE HWY
Second Line :
City : PHOENIX
State : AZ
Zip : 85086-3200
Country : US
Telephone Number : 623-582-8073
Fax Number : 623-582-8074
Provider Business Practice Location Address
First Line : 3130 W CAREFREE HWY
Second Line :
City : PHOENIX
State : AZ
Zip : 85086-3200
Country : US
Telephone Number : 623-582-8073
Fax Number : 623-582-8074
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/18/2011
Last Update Date : 10/18/2011

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Directions to “ DR. JENNIE M DOTSON PHARMD” Practice Location

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