MEDICARE: MS. JENNIFER DARNELL RPH

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	1835P1200X	Pharmacotherapy Pharmacist	A110017	AL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	A110017	OTHER	AL	PHARMACIST LISCENSE

General Provider Information

NPI Number	:	1922087873
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. JENNIFER DARNELL RPH

Provider Business Mailing Address
First Line	:	6067 VALE MEADE CIR
Second Line	:
City	:	HELENA
State	:	AL
Zip	:	35080-3954
Country	:	US
Telephone Number	:	205-966-9464
Fax Number	:

Provider Business Practice Location Address
First Line	:	6067 VALE MEADE CIR
Second Line	:
City	:	HELENA
State	:	AL
Zip	:	35080-3954
Country	:	US
Telephone Number	:	205-966-9464
Fax Number	:

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

Provider Enumeration Date	:	01/10/2006
Last Update Date	:	10/05/2010

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