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NPI Code Detail

MEDICARE: JENNIFER BETH MUNN

MEDICARE:   JENNIFER BETH MUNN
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
1183500000XPharmacistPH00065067WA

General Provider Information

NPI Number : 1780976407
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER BETH MUNN
Provider Business Mailing Address
First Line : 9120 N DIVISION ST
Second Line :
City : SPOKANE
State : WA
Zip : 99218-1202
Country : US
Telephone Number : 509-464-4480
Fax Number :
Provider Business Practice Location Address
First Line : 9120 N DIVISION ST
Second Line :
City : SPOKANE
State : WA
Zip : 99218-1202
Country : US
Telephone Number : 509-464-4480
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/13/2011
Last Update Date : 05/13/2011

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Directions to “ JENNIFER BETH MUNN ” Practice Location

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