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NPI Code Detail

MEDICARE: JENNIFER ANN HART RPH

MEDICARE: JENNIFER ANN HART RPH
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
1183500000XPharmacist5302029485MI

General Provider Information

NPI Number : 1811271752
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER ANN HART RPH
Provider Business Mailing Address
First Line : 2050 S ROCHESTER RD
Second Line :
City : ROCHESTER HILLS
State : MI
Zip : 48307-3856
Country : US
Telephone Number : 248-652-4429
Fax Number : 248-652-2735
Provider Business Practice Location Address
First Line : 2050 S ROCHESTER RD
Second Line :
City : ROCHESTER HILLS
State : MI
Zip : 48307-3856
Country : US
Telephone Number : 248-652-4429
Fax Number : 248-652-2735
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/10/2011
Last Update Date : 10/10/2011

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