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NPI Code Detail

MEDICARE: DR. JONI ZIMMERMAN

MEDICARE: DR. JONI ZIMMERMAN
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
1183500000XPharmacistCO18556CO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11598770836OTHERCOWALGREENS

General Provider Information

NPI Number : 1972872893
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JONI ZIMMERMAN
Provider Business Mailing Address
First Line : 7211 FEDERAL BLVD
Second Line :
City : WESTMINSTER
State : CO
Zip : 80030-4901
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 7211 FEDERAL BLVD
Second Line :
City : WESTMINSTER
State : CO
Zip : 80030-4901
Country : US
Telephone Number : 303-427-7479
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/21/2011
Last Update Date : 12/21/2011

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