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NPI Code Detail

MEDICARE: KAREN R ZIMMERMAN

MEDICARE: KAREN R ZIMMERMAN
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
1183500000XPharmacistPD07342AR

General Provider Information

NPI Number : 1548862576
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAREN R ZIMMERMAN
Provider Business Mailing Address
First Line : 34 DUCLAIR CT
Second Line :
City : LITTLE ROCK
State : AR
Zip : 72223-9570
Country : US
Telephone Number : 501-219-0283
Fax Number : 501-219-1067
Provider Business Practice Location Address
First Line : 900 S BOWMAN RD
Second Line :
City : LITTLE ROCK
State : AR
Zip : 72211-3617
Country : US
Telephone Number : 501-219-0283
Fax Number : 501-219-1067
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/13/2020
Last Update Date : 11/13/2020

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