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NPI Code Detail

MEDICARE: DR. JENNIFER LYNN FOCHT PHARMD

MEDICARE: DR. JENNIFER LYNN FOCHT PHARMD
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
1183500000XPharmacist26025034AIN
2183500000XPharmacist03232652-2OH

General Provider Information

NPI Number : 1598197956
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JENNIFER LYNN FOCHT PHARMD
Provider Business Mailing Address
First Line : 2550 LAKE CIRCLE DR
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46268-4220
Country : US
Telephone Number : 317-579-8136
Fax Number : 317-579-8424
Provider Business Practice Location Address
First Line : 2550 LAKE CIRCLE DR
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46268-4220
Country : US
Telephone Number : 317-579-8136
Fax Number : 317-579-8424
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/07/2013
Last Update Date : 08/07/2013

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