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NPI Code Detail

MEDICARE: MS. JODI LYNN ADRAGNA RPH

MEDICARE: MS. JODI LYNN ADRAGNA 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
1183500000XPharmacist5302029436MI

General Provider Information

NPI Number : 1245525526
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. JODI LYNN ADRAGNA RPH
Provider Business Mailing Address
First Line : 2310 METROPOLITAN PKWY
Second Line : T-2254
City : STERLING HEIGHTS
State : MI
Zip : 48310-4209
Country : US
Telephone Number : 586-698-1028
Fax Number : 586-698-1031
Provider Business Practice Location Address
First Line : 2310 METROPOLITAN PKWY
Second Line : T-2254
City : STERLING HEIGHTS
State : MI
Zip : 48310-4209
Country : US
Telephone Number : 586-698-1028
Fax Number : 586-698-1031
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/14/2011
Last Update Date : 06/14/2011

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