MEDICARE: DR. JEANETTE ANN AWRAMKO PHARMD, RPH

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	118373	MN

General Provider Information

NPI Number	:	1225305907
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JEANETTE ANN AWRAMKO PHARMD, RPH

Provider Business Mailing Address
First Line	:	1511 MINNESOTA 7
Second Line	:
City	:	HOPKINS
State	:	MN
Zip	:	55305
Country	:	US
Telephone Number	:	952-939-1917
Fax Number	:

Provider Business Practice Location Address
First Line	:	1511 HIGHWAY 7
Second Line	:
City	:	HOPKINS
State	:	MN
Zip	:	55305-4739
Country	:	US
Telephone Number	:	952-939-1917
Fax Number	:	952-939-1881

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

Provider Enumeration Date	:	11/22/2011
Last Update Date	:	08/07/2012

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