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NPI Code Detail

MEDICARE: DR. JESSICA ELIZABETH BRENNAN PHARM D

MEDICARE:  DR. JESSICA ELIZABETH BRENNAN  PHARM D
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
1183500000XPharmacistPH00051235WA

General Provider Information

NPI Number : 1366441784
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JESSICA ELIZABETH BRENNAN PHARM D
Provider Business Mailing Address
First Line : 8020 77TH AVENUE CT E
Second Line :
City : PUYALLUP
State : WA
Zip : 98371-8724
Country : US
Telephone Number : 253-845-1950
Fax Number : 253-845-1950
Provider Business Practice Location Address
First Line : 9601 STEILACOOM BLVD SW
Second Line : BLDG 13
City : TACOMA
State : WA
Zip : 98498-7213
Country : US
Telephone Number : 253-756-2521
Fax Number : 253-756-2707
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/18/2005
Last Update Date : 08/09/2019

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Directions to “ DR. JESSICA ELIZABETH BRENNAN PHARM D” Practice Location

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