MEDICARE: JENNIFER LYNN SELTZER 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
1	183500000X	Pharmacist	RP442644	PA

General Provider Information

NPI Number	:	1124364195
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNIFER LYNN SELTZER PHARM.D.

Provider Business Mailing Address
First Line	:	57 ANDYS HILL RD
Second Line	:
City	:	BENTON
State	:	PA
Zip	:	17814-8212
Country	:	US
Telephone Number	:	570-204-6494
Fax Number	:	570-389-1622

Provider Business Practice Location Address
First Line	:	1000 MARKET ST STE 9
Second Line	:
City	:	BLOOMSBURG
State	:	PA
Zip	:	17815-2601
Country	:	US
Telephone Number	:	570-784-9582
Fax Number	:	570-389-1622

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/20/2012
Last Update Date	:	04/21/2022

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