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NPI Code Detail

MEDICARE: MR. JON CONRAD HUNT PHARMD

MEDICARE: MR. JON CONRAD HUNT 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
1183500000XPharmacist14427NC
2183500000XPharmacist051289818IL

General Provider Information

NPI Number : 1811158660
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. JON CONRAD HUNT PHARMD
Provider Business Mailing Address
First Line : 5621 DAVIS RIDGE DR
Second Line :
City : CHARLOTTE
State : NC
Zip : 28269-5004
Country : US
Telephone Number : 704-921-0039
Fax Number :
Provider Business Practice Location Address
First Line : 8800 N TRYON ST
Second Line : ATTENTION PHARMACY
City : CHARLOTTE
State : NC
Zip : 28262-3300
Country : US
Telephone Number : 704-863-5788
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/24/2008
Last Update Date : 06/24/2008

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