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NPI Code Detail

MEDICARE: DR. JEFFREY MCDOUGAL PHARMD

MEDICARE: DR. JEFFREY MCDOUGAL 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
1183500000XPharmacist03330999OH

General Provider Information

NPI Number : 1669052577
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JEFFREY MCDOUGAL PHARMD
Provider Business Mailing Address
First Line : 2630 BAILEY RD
Second Line :
City : CUYAHOGA FALLS
State : OH
Zip : 44221-2216
Country : US
Telephone Number : 330-923-5766
Fax Number :
Provider Business Practice Location Address
First Line : 2630 BAILEY RD
Second Line :
City : CUYAHOGA FALLS
State : OH
Zip : 44221-2216
Country : US
Telephone Number : 330-923-5766
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/13/2021
Last Update Date : 04/13/2021

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