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NPI Code Detail

MEDICARE: DR. JORDAN DANIELLE ZAREK PHARM.D.

MEDICARE: DR. JORDAN DANIELLE ZAREK 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
1183500000XPharmacist051297869IL

General Provider Information

NPI Number : 1184028813
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JORDAN DANIELLE ZAREK PHARM.D.
Provider Business Mailing Address
First Line : 3301 DENTON HWY
Second Line :
City : HALTOM CITY
State : TX
Zip : 76117-3200
Country : US
Telephone Number : 817-222-9247
Fax Number :
Provider Business Practice Location Address
First Line : 3301 DENTON HWY
Second Line :
City : HALTOM CITY
State : TX
Zip : 76117-3200
Country : US
Telephone Number : 817-222-9247
Fax Number : 847-697-6769
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/09/2014
Last Update Date : 03/13/2021

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