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NPI Code Detail

MEDICARE: TIFFANY J JAMISON PHARM.D.

MEDICARE: TIFFANY J JAMISON 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
1183500000XPharmacistPS61637FL

General Provider Information

NPI Number : 1669078119
Entity Type Code : Individual
Provider Name (Legal Business Name) : TIFFANY J JAMISON PHARM.D.
Provider Business Mailing Address
First Line : 3200 E BAY DR
Second Line :
City : HOLMES BEACH
State : FL
Zip : 34217-2031
Country : US
Telephone Number : 941-778-0451
Fax Number :
Provider Business Practice Location Address
First Line : 3200 E BAY DR
Second Line :
City : HOLMES BEACH
State : FL
Zip : 34217-2031
Country : US
Telephone Number : 941-778-0451
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/09/2020
Last Update Date : 05/05/2021

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