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NPI Code Detail

MEDICARE: JENNIFER MCMILLEN RPH

MEDICARE: JENNIFER MCMILLEN 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
1183500000XPharmacist043756NY

General Provider Information

NPI Number : 1841516051
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER MCMILLEN RPH
Provider Business Mailing Address
First Line : 3740 MCKINLEY PKWY
Second Line :
City : BLASDELL
State : NY
Zip : 14219-2660
Country : US
Telephone Number : 716-824-8013
Fax Number : 716-824-2372
Provider Business Practice Location Address
First Line : 3740 MCKINLEY PKWY
Second Line :
City : BLASDELL
State : NY
Zip : 14219-2660
Country : US
Telephone Number : 716-824-8013
Fax Number : 716-824-2372
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/13/2010
Last Update Date : 04/13/2010

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Directions to “ JENNIFER MCMILLEN RPH” Practice Location

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