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NPI Code Detail

MEDICARE: DR. JAMES BRYAN JEAN PHARM.D

MEDICARE: DR. JAMES BRYAN JEAN PHARM.D
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
1183500000XPharmacist50189CA

General Provider Information

NPI Number : 1740591676
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JAMES BRYAN JEAN PHARM.D
Provider Business Mailing Address
First Line : 19573 GIBRALTAR CT
Second Line :
City : HILMAR
State : CA
Zip : 95324-9650
Country : US
Telephone Number : 209-648-3116
Fax Number :
Provider Business Practice Location Address
First Line : 1158 W MAIN ST
Second Line :
City : MERCED
State : CA
Zip : 95340-4523
Country : US
Telephone Number : 209-383-2404
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/25/2010
Last Update Date : 03/17/2018

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