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NPI Code Detail

MEDICARE: JASJEET SINGH WARAITCH

MEDICARE:   JASJEET SINGH WARAITCH
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
1183500000XPharmacist26027809AIN

General Provider Information

NPI Number : 1548805104
Entity Type Code : Individual
Provider Name (Legal Business Name) : JASJEET SINGH WARAITCH
Provider Business Mailing Address
First Line : 2650 S WALNUT ST
Second Line :
City : BLOOMINGTON
State : IN
Zip : 47401-7302
Country : US
Telephone Number : 812-336-6223
Fax Number :
Provider Business Practice Location Address
First Line : 2650 S WALNUT ST
Second Line :
City : BLOOMINGTON
State : IN
Zip : 47401-7302
Country : US
Telephone Number : 812-336-6223
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/07/2019
Last Update Date : 11/07/2019

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Directions to “ JASJEET SINGH WARAITCH ” Practice Location

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