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NPI Code Detail

MEDICARE: JENNIFER OWENS BRITT

MEDICARE: JENNIFER OWENS BRITT
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
1183500000XPharmacist0202012517VA

General Provider Information

NPI Number : 1235739715
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER OWENS BRITT
Provider Business Mailing Address
First Line : PO BOX 296
Second Line :
City : MATHEWS
State : VA
Zip : 23109-0296
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6819 WALTONS LN
Second Line :
City : GLOUCESTER
State : VA
Zip : 23061-6113
Country : US
Telephone Number : 804-694-0060
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/26/2020
Last Update Date : 10/26/2020

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