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NPI Code Detail

MEDICARE: JENNICA FOURNIER

MEDICARE: JENNICA FOURNIER
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
1183500000XPharmacist4473WY
21835P2201XAmbulatory Care Pharmacist4473WY

General Provider Information

NPI Number : 1285598839
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNICA FOURNIER
Provider Business Mailing Address
First Line : 5516 TOWNSEND PL APT B
Second Line :
City : CHEYENNE
State : WY
Zip : 82009-3754
Country : US
Telephone Number : 307-630-0380
Fax Number :
Provider Business Practice Location Address
First Line : 2360 E PERSHING BLVD
Second Line :
City : CHEYENNE
State : WY
Zip : 82001-5356
Country : US
Telephone Number : 307-778-7550
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/09/2025
Last Update Date : 12/09/2025

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