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NPI Code Detail

MEDICARE: JODIE ANN ZIMMERMAN PHARMD

MEDICARE: JODIE ANN ZIMMERMAN 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
1183500000XPharmacist117572-7MN

General Provider Information

NPI Number : 1184701302
Entity Type Code : Individual
Provider Name (Legal Business Name) : JODIE ANN ZIMMERMAN PHARMD
Provider Business Mailing Address
First Line : 7892 PENNY LN
Second Line :
City : WOODBURY
State : MN
Zip : 55125-2814
Country : US
Telephone Number : 651-714-1991
Fax Number :
Provider Business Practice Location Address
First Line : 711 KASOTA AVE SE
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55414-2842
Country : US
Telephone Number : 612-672-5200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/01/2006
Last Update Date : 07/08/2007

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Directions to “ JODIE ANN ZIMMERMAN PHARMD” Practice Location

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