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NPI Code Detail

MEDICARE: DR. JENNIFER MARIE ROBINSON PHARM. D.

MEDICARE:  DR. JENNIFER MARIE ROBINSON  PHARM. D.
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
1183500000XPharmacist2003029967MO

General Provider Information

NPI Number : 1083998785
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JENNIFER MARIE ROBINSON PHARM. D.
Provider Business Mailing Address
First Line : 6664 WINDING CREEK WAY
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63129-4983
Country : US
Telephone Number : 314-846-7963
Fax Number :
Provider Business Practice Location Address
First Line : 6664 WINDING CREEK WAY
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63129-4983
Country : US
Telephone Number : 314-846-7963
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/29/2011
Last Update Date : 09/29/2011

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