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NPI Code Detail

MEDICARE: JENNIFER LYNN WILLIAMS PHARMD

MEDICARE: JENNIFER LYNN WILLIAMS 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
1183500000XPharmacist22700IA

General Provider Information

NPI Number : 1265700421
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER LYNN WILLIAMS PHARMD
Provider Business Mailing Address
First Line : 701 10TH ST SE
Second Line :
City : CEDAR RAPIDS
State : IA
Zip : 52403-1251
Country : US
Telephone Number : 501-615-3286
Fax Number :
Provider Business Practice Location Address
First Line : 701 10TH ST SE
Second Line :
City : CEDAR RAPIDS
State : IA
Zip : 52403-1292
Country : US
Telephone Number : 319-398-6060
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/02/2011
Last Update Date : 09/26/2019

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