MEDICARE: MAISA S JARADAT

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	20141	NC

General Provider Information

NPI Number	:	1700195724
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MAISA S JARADAT

Provider Business Mailing Address
First Line	:	3914 CAPITAL BLVD
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27604-3412
Country	:	US
Telephone Number	:	919-876-0817
Fax Number	:

Provider Business Practice Location Address
First Line	:	3914 CAPITAL BLVD
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27604-3412
Country	:	US
Telephone Number	:	919-876-0817
Fax Number	:

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

Provider Enumeration Date	:	09/27/2010
Last Update Date	:	09/27/2010

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