MEDICARE: DR. JENNIFER ELIZABETH BELL PHARMD, BCOP

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
1	1835X0200X	Oncology Pharmacist	PS41463	FL
2	1835X0200X	Oncology Pharmacist	26022889A	IN

General Provider Information

NPI Number	:	1346466190
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JENNIFER ELIZABETH BELL PHARMD, BCOP

Provider Business Mailing Address
First Line	:	4070 SNAFFLE BIT RD
Second Line	:
City	:	LEBANON
State	:	IN
Zip	:	46052-8437
Country	:	US
Telephone Number	:	765-427-4358
Fax Number	:

Provider Business Practice Location Address
First Line	:	9002 N MERIDIAN ST STE 214
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46260-5350
Country	:	US
Telephone Number	:	317-735-7530
Fax Number	:	317-735-7541

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/18/2007
Last Update Date	:	12/15/2009

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