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NPI Code Detail

MEDICARE: PATRICIA JESINOSKI RPH

MEDICARE: PATRICIA JESINOSKI 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
1183500000XPharmacist15286NV

General Provider Information

NPI Number : 1245513803
Entity Type Code : Individual
Provider Name (Legal Business Name) : PATRICIA JESINOSKI RPH
Provider Business Mailing Address
First Line : 401 N ARROYO GRANDE BLVD
Second Line :
City : HENDERSON
State : NV
Zip : 89014-3974
Country : US
Telephone Number : 702-436-7106
Fax Number : 702-436-7698
Provider Business Practice Location Address
First Line : 401 N ARROYO GRANDE BLVD
Second Line :
City : HENDERSON
State : NV
Zip : 89014-3974
Country : US
Telephone Number : 702-436-7106
Fax Number : 702-436-7698
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/21/2011
Last Update Date : 09/21/2011

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Directions to “ PATRICIA JESINOSKI RPH” Practice Location

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