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NPI Code Detail

MEDICARE: DR. JANA M BEHRENS PHARM D

MEDICARE: DR. JANA M BEHRENS PHARM D
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
1183500000XPharmacistPS40166FL
2183500000XPharmacistRP00007077NM

General Provider Information

NPI Number : 1629099098
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JANA M BEHRENS PHARM D
Provider Business Mailing Address
First Line : 29863 SW 158TH CT
Second Line :
City : HOMESTEAD
State : FL
Zip : 33033
Country : US
Telephone Number : 305-245-3289
Fax Number :
Provider Business Practice Location Address
First Line : 3100 N MAIN ST
Second Line :
City : LAS CRUCES
State : NM
Zip : 88001-1162
Country : US
Telephone Number : 575-525-0298
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/21/2006
Last Update Date : 10/02/2009

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