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NPI Code Detail

MEDICARE: JENENE R SPENCER PHARM.D.

MEDICARE: JENENE R SPENCER 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
1183500000XPharmacist11932AZ

General Provider Information

NPI Number : 1750382255
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENENE R SPENCER PHARM.D.
Provider Business Mailing Address
First Line : 11408 N SILVER PHEASANT LOOP
Second Line :
City : TUCSON
State : AZ
Zip : 85737-1501
Country : US
Telephone Number : 520-797-5606
Fax Number :
Provider Business Practice Location Address
First Line : 7870 N SILVERBELL RD
Second Line :
City : TUCSON
State : AZ
Zip : 85743-8230
Country : US
Telephone Number : 520-572-1060
Fax Number : 520-744-7184
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/09/2005
Last Update Date : 07/08/2007

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Directions to “ JENENE R SPENCER PHARM.D.” Practice Location

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