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NPI Code Detail

MEDICARE: JUSTIN JON ZIMMERMAN PHARMD

MEDICARE: JUSTIN JON ZIMMERMAN 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
1183500000XPharmacist062004NY

General Provider Information

NPI Number : 1720532682
Entity Type Code : Individual
Provider Name (Legal Business Name) : JUSTIN JON ZIMMERMAN PHARMD
Provider Business Mailing Address
First Line : 6351 BADGER DR
Second Line :
City : LOCKPORT
State : NY
Zip : 14094-5947
Country : US
Telephone Number : 716-807-5295
Fax Number :
Provider Business Practice Location Address
First Line : 1567 PENFIELD RD
Second Line :
City : ROCHESTER
State : NY
Zip : 14625-2331
Country : US
Telephone Number : 585-586-8983
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/09/2016
Last Update Date : 08/09/2016

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Directions to “ JUSTIN JON ZIMMERMAN PHARMD” Practice Location

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