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NPI Code Detail

MEDICARE: DR. JENNIFER TIERMAN PHARMD

MEDICARE:  DR. JENNIFER  TIERMAN  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
1183500000XPharmacist33597FL

General Provider Information

NPI Number : 1730461344
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JENNIFER TIERMAN PHARMD
Provider Business Mailing Address
First Line : 2590 E HIGHWAY 50
Second Line :
City : CLERMONT
State : FL
Zip : 34711-6050
Country : US
Telephone Number : 352-394-1748
Fax Number : 352-394-3565
Provider Business Practice Location Address
First Line : 2590 E HIGHWAY 50
Second Line :
City : CLERMONT
State : FL
Zip : 34711-6050
Country : US
Telephone Number : 352-394-1748
Fax Number : 352-394-3565
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/09/2011
Last Update Date : 09/09/2011

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Directions to “ DR. JENNIFER TIERMAN PHARMD” Practice Location

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