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NPI Code Detail

MEDICARE: JASMINE CHAREE ROBINSON

MEDICARE: JASMINE CHAREE ROBINSON
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
1183500000XPharmacist19713NV

General Provider Information

NPI Number : 1790398147
Entity Type Code : Individual
Provider Name (Legal Business Name) : JASMINE CHAREE ROBINSON
Provider Business Mailing Address
First Line : 1500 S BOULDER HWY
Second Line :
City : HENDERSON
State : NV
Zip : 89015-8506
Country : US
Telephone Number : 702-567-5454
Fax Number :
Provider Business Practice Location Address
First Line : 1500 S BOULDER HWY
Second Line :
City : HENDERSON
State : NV
Zip : 89015-8506
Country : US
Telephone Number : 702-567-5454
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/26/2020
Last Update Date : 08/26/2020

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Directions to “ JASMINE CHAREE ROBINSON ” Practice Location

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