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NPI Code Detail

MEDICARE: MRS. JENNIFER LYNN LYNCH RPH

MEDICARE: MRS. JENNIFER LYNN LYNCH 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
1183500000XPharmacist03-2-23634OH
2183500000XPharmacistRP-045054PA

General Provider Information

NPI Number : 1578552949
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. JENNIFER LYNN LYNCH RPH
Provider Business Mailing Address
First Line : 554 MAYFAIR DR
Second Line :
City : WASHINGTON COURT HOUSE
State : OH
Zip : 43160-2812
Country : US
Telephone Number : 740-333-1665
Fax Number :
Provider Business Practice Location Address
First Line : 1430 COLUMBUS AVE
Second Line :
City : WASHINGTON COURT HOUSE
State : OH
Zip : 43160-1703
Country : US
Telephone Number : 740-333-2901
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/19/2005
Last Update Date : 11/18/2009

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