MEDICARE: DR. JILL SUZANNE NOERRLINGER 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	12499	NE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	12499	OTHER	NE	LICENSE NUMBER

General Provider Information

NPI Number	:	1427247576
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JILL SUZANNE NOERRLINGER PHARMD

Provider Business Mailing Address
First Line	:	448 5TH ST
Second Line	:
City	:	SYRACUSE
State	:	NE
Zip	:	68446-9302
Country	:	US
Telephone Number	:	402-269-2001
Fax Number	:

Provider Business Practice Location Address
First Line	:	448 5TH ST
Second Line	:
City	:	SYRACUSE
State	:	NE
Zip	:	68446-9302
Country	:	US
Telephone Number	:	402-269-2001
Fax Number	:

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

Provider Enumeration Date	:	10/15/2007
Last Update Date	:	10/15/2007

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