Healthcare Provider Details

I. General information

NPI: 1679972285
Provider Name (Legal Business Name): JENNIFER FRENCH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/19/2014
Last Update Date: 05/03/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

228 N CHURCH ST
THURMONT MD
21788-1638
US

IV. Provider business mailing address

228 N CHURCH ST
THURMONT MD
21788-1638
US

V. Phone/Fax

Practice location:
  • Phone: 301-271-7094
  • Fax:
Mailing address:
  • Phone: 301-271-7094
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number13127
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: