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NPI Code Detail

MEDICARE: JENNIFER MCDONALD

MEDICARE: JENNIFER MCDONALD
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
1183500000XPharmacist35122TX
2183500000XPharmacist11523KS

General Provider Information

NPI Number : 1073020863
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER MCDONALD
Provider Business Mailing Address
First Line : 3600 COMMUNICATIONS PKWY STE 675
Second Line :
City : PLANO
State : TX
Zip : 75093-8162
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3600 COMMUNICATIONS PKWY STE 675
Second Line :
City : PLANO
State : TX
Zip : 75093-8162
Country : US
Telephone Number : 972-473-7544
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/03/2018
Last Update Date : 01/03/2018

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Directions to “ JENNIFER MCDONALD ” Practice Location

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