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NPI Code Detail

MEDICARE: JENNIFER GARN

MEDICARE: JENNIFER GARN
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
1183500000XPharmacist12475OK

General Provider Information

NPI Number : 1467746644
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER GARN
Provider Business Mailing Address
First Line : 1400 24TH AVE NW
Second Line : T-2220
City : NORMAN
State : OK
Zip : 73069-6385
Country : US
Telephone Number : 405-253-3001
Fax Number :
Provider Business Practice Location Address
First Line : 1400 24TH AVE NW
Second Line : T-2220
City : NORMAN
State : OK
Zip : 73069-6385
Country : US
Telephone Number : 405-253-3001
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/05/2011
Last Update Date : 06/05/2011

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Directions to “ JENNIFER GARN ” Practice Location

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