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NPI Code Detail

MEDICARE: DR. JENNIE J OLOPAADE PHARMD

MEDICARE:  DR. JENNIE J OLOPAADE  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
1183500000XPharmacist64652TX
2183500000XPharmacist15474AL

General Provider Information

NPI Number : 1114546405
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JENNIE J OLOPAADE PHARMD
Provider Business Mailing Address
First Line : 3012 FRANCISCAN DR APT 625
Second Line :
City : ARLINGTON
State : TX
Zip : 76015-2543
Country : US
Telephone Number : 251-599-9800
Fax Number :
Provider Business Practice Location Address
First Line : 3012 FRANCISCAN DR APT 625
Second Line :
City : ARLINGTON
State : TX
Zip : 76015-2543
Country : US
Telephone Number : 251-599-9800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/16/2020
Last Update Date : 04/16/2020

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Directions to “ DR. JENNIE J OLOPAADE PHARMD” Practice Location

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