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NPI Code Detail

MEDICARE: JULIE MARYANNE MOHNKERN R.PH.

MEDICARE: JULIE MARYANNE MOHNKERN R.PH.
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
1183500000XPharmacistRP040701LPA

General Provider Information

NPI Number : 1093830952
Entity Type Code : Individual
Provider Name (Legal Business Name) : JULIE MARYANNE MOHNKERN R.PH.
Provider Business Mailing Address
First Line : 3020 WILLOWBROOK DR
Second Line :
City : BRIDGEVILLE
State : PA
Zip : 15017-1544
Country : US
Telephone Number : 412-257-9693
Fax Number : 412-914-0749
Provider Business Practice Location Address
First Line : 3239 WASHINGTON PIKE
Second Line :
City : BRIDGEVILLE
State : PA
Zip : 15017-1460
Country : US
Telephone Number : 412-914-0752
Fax Number : 412-914-0749
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/20/2007
Last Update Date : 03/29/2011

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