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NPI Code Detail

MEDICARE: PENNY LYNN BARENKLAU

MEDICARE: PENNY LYNN BARENKLAU
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
1183500000XPharmacistRPH-0012161OR

General Provider Information

NPI Number : 1831655828
Entity Type Code : Individual
Provider Name (Legal Business Name) : PENNY LYNN BARENKLAU
Provider Business Mailing Address
First Line : 1750 WILLOW CREEK CIR
Second Line :
City : EUGENE
State : OR
Zip : 97402-9152
Country : US
Telephone Number : 541-744-1641
Fax Number :
Provider Business Practice Location Address
First Line : 1750 WILLOW CREEK CIR
Second Line :
City : EUGENE
State : OR
Zip : 97402-9152
Country : US
Telephone Number : 541-744-1641
Fax Number : 541-744-1052
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/14/2019
Last Update Date : 02/14/2019

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Directions to “ PENNY LYNN BARENKLAU ” Practice Location

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