MEDICARE: MRS. JAMIE LEE ZAMPOGNA 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
1	183500000X	Pharmacist	RP437682	PA

General Provider Information

NPI Number	:	1386635696
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. JAMIE LEE ZAMPOGNA PHARMD

Provider Business Mailing Address
First Line	:	109 HIGH POINT RD
Second Line	:
City	:	SARVER
State	:	PA
Zip	:	16055-9481
Country	:	US
Telephone Number	:	724-294-0109
Fax Number	:

Provider Business Practice Location Address
First Line	:	301 CORBET ST
Second Line	:
City	:	TARENTUM
State	:	PA
Zip	:	15084-1877
Country	:	US
Telephone Number	:	724-224-9100
Fax Number	:

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

Provider Enumeration Date	:	11/04/2005
Last Update Date	:	07/08/2007

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