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NPI Code Detail

MEDICARE: JENNIFER RENEE MENDIGUREN PHARM D

MEDICARE:   JENNIFER RENEE MENDIGUREN  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
1183500000XPharmacistPS 48216FL
2183500000XPharmacistPS48216FL

General Provider Information

NPI Number : 1629350426
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER RENEE MENDIGUREN PHARM D
Provider Business Mailing Address
First Line : 220 PALM BCH LAKES BLVD
Second Line :
City : WEST PALM BCH
State : FL
Zip : 33409
Country : US
Telephone Number : 561-615-0415
Fax Number :
Provider Business Practice Location Address
First Line : 220 PALM BCH LAKES BLVD
Second Line :
City : WEST PALM BCH
State : FL
Zip : 33409
Country : US
Telephone Number : 561-615-0415
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/16/2011
Last Update Date : 05/15/2021

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Directions to “ JENNIFER RENEE MENDIGUREN PHARM D” Practice Location

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