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NPI Code Detail

MEDICARE: JANNA M BRENNER PHARMD

MEDICARE:   JANNA M BRENNER  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
1183500000XPharmacist5302038803MI

General Provider Information

NPI Number : 1124461793
Entity Type Code : Individual
Provider Name (Legal Business Name) : JANNA M BRENNER PHARMD
Provider Business Mailing Address
First Line : 2100 N SAINT HELEN RD
Second Line : PO BOX 38
City : SAINT HELEN
State : MI
Zip : 48656-9209
Country : US
Telephone Number : 989-389-7252
Fax Number : 989-389-7232
Provider Business Practice Location Address
First Line : 2100 N SAINT HELEN RD
Second Line :
City : SAINT HELEN
State : MI
Zip : 48656-9209
Country : US
Telephone Number : 989-389-7252
Fax Number : 989-389-7232
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/12/2013
Last Update Date : 04/12/2013

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Directions to “ JANNA M BRENNER PHARMD” Practice Location

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