MEDICARE: MRS. JENNIFER DIGEORGE MCNAMARA 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
1	183500000X	Pharmacist	PS41479	FL

General Provider Information

NPI Number	:	1699050625
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. JENNIFER DIGEORGE MCNAMARA PHARMD

Provider Business Mailing Address
First Line	:	7479 LAKE WORTH RD
Second Line	:
City	:	LAKE WORTH
State	:	FL
Zip	:	33467-2530
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7479 LAKE WORTH RD
Second Line	:
City	:	LAKE WORTH
State	:	FL
Zip	:	33467-2530
Country	:	US
Telephone Number	:	561-965-4798
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/21/2011
Last Update Date	:	10/21/2011

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