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NPI Code Detail

MEDICARE: JESSICA DAWN MAULICK PHARMD

MEDICARE: JESSICA DAWN MAULICK PHARMD
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
1183500000XPharmacist21545AL

General Provider Information

NPI Number : 1013520501
Entity Type Code : Individual
Provider Name (Legal Business Name) : JESSICA DAWN MAULICK PHARMD
Provider Business Mailing Address
First Line : 102 KINGSWOOD DR
Second Line :
City : HUNTSVILLE
State : AL
Zip : 35806-1286
Country : US
Telephone Number : 865-256-0351
Fax Number :
Provider Business Practice Location Address
First Line : 1086 JEFF RD NW
Second Line :
City : HUNTSVILLE
State : AL
Zip : 35806-1048
Country : US
Telephone Number : 865-256-0351
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/25/2020
Last Update Date : 08/25/2020

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Directions to “ JESSICA DAWN MAULICK PHARMD” Practice Location

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