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NPI Code Detail

MEDICARE: MRS. LOISJEAN N BRITTAIN PHARMD

MEDICARE: MRS. LOISJEAN N BRITTAIN 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
1183500000XPharmacist012741KY

General Provider Information

NPI Number : 1265788194
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. LOISJEAN N BRITTAIN PHARMD
Provider Business Mailing Address
First Line : 1019 CUMBERLAND FALLS HWY
Second Line :
City : CORBIN
State : KY
Zip : 40701-2735
Country : US
Telephone Number : 606-526-0755
Fax Number : 606-526-9589
Provider Business Practice Location Address
First Line : 1019 CUMBERLAND FALLS HWY
Second Line :
City : CORBIN
State : KY
Zip : 40701-2735
Country : US
Telephone Number : 606-526-0755
Fax Number : 606-526-9589
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/30/2012
Last Update Date : 07/30/2012

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