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NPI Code Detail

MEDICARE: DR. JAGJIT BAINS PHARM. D.

MEDICARE:  DR. JAGJIT  BAINS  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
11835P0018XPharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistPCT.0011425CT
2183500000XPharmacist0011425CT

General Provider Information

NPI Number : 1093310906
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JAGJIT BAINS PHARM. D.
Provider Business Mailing Address
First Line : 607 NORWICH AVE APT 332
Second Line :
City : TAFTVILLE
State : CT
Zip : 06380-1476
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 372 W MAIN ST
Second Line :
City : NORWICH
State : CT
Zip : 06360-5415
Country : US
Telephone Number : 860-887-5970
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/01/2020
Last Update Date : 12/01/2020

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