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NPI Code Detail

MEDICARE: DR. JESSICA FIANT PHARMD

MEDICARE:  DR. JESSICA  FIANT  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
1183500000XPharmacistRP451438PA
21835P0018XPharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistRP451438PA

General Provider Information

NPI Number : 1720509425
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JESSICA FIANT PHARMD
Provider Business Mailing Address
First Line : 970 RITTENHOUSE RD STE 200
Second Line :
City : AUDUBON
State : PA
Zip : 19403-2265
Country : US
Telephone Number : 610-344-0450
Fax Number : 610-431-1931
Provider Business Practice Location Address
First Line : 970 RITTENHOUSE RD STE 200
Second Line :
City : AUDUBON
State : PA
Zip : 19403-2265
Country : US
Telephone Number : 610-344-0450
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/03/2017
Last Update Date : 09/27/2018

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Directions to “ DR. JESSICA FIANT PHARMD” Practice Location

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