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NPI Code Detail

MEDICARE: MRS. JODI ANN MERRIFIELD RPH.

MEDICARE: MRS. JODI ANN MERRIFIELD RPH.
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
1183500000XPharmacist5302028510MI

General Provider Information

NPI Number : 1669646063
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. JODI ANN MERRIFIELD RPH.
Provider Business Mailing Address
First Line : 45460 MARKET ST
Second Line :
City : SHELBY TWP
State : MI
Zip : 48315-6224
Country : US
Telephone Number : 586-580-2002
Fax Number : 586-580-2021
Provider Business Practice Location Address
First Line : 45460 MARKET ST
Second Line :
City : SHELBY TOWNSHIP
State : MI
Zip : 48315-6224
Country : US
Telephone Number : 586-580-2002
Fax Number : 586-580-2021
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/16/2008
Last Update Date : 10/09/2025

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