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NPI Code Detail

MEDICARE: MRS. PAMELA JEAN ZELAZNY RPH

MEDICARE: MRS. PAMELA JEAN ZELAZNY RPH
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
1183500000XPharmacist5302030508MI

General Provider Information

NPI Number : 1538445754
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. PAMELA JEAN ZELAZNY RPH
Provider Business Mailing Address
First Line : 51044 RICHARD DR
Second Line :
City : PLYMOUTH
State : MI
Zip : 48170-1191
Country : US
Telephone Number : 734-459-9644
Fax Number :
Provider Business Practice Location Address
First Line : 25700 FORD RD
Second Line :
City : DEARBORN HEIGHTS
State : MI
Zip : 48127-3026
Country : US
Telephone Number : 313-359-9640
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/02/2011
Last Update Date : 11/02/2011

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