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NPI Code Detail

MEDICARE: JENNAH JOAN BAUERNFEIND PHARMD

MEDICARE: JENNAH JOAN BAUERNFEIND 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
1183500000XPharmacistS021936AZ

General Provider Information

NPI Number : 1851086102
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNAH JOAN BAUERNFEIND PHARMD
Provider Business Mailing Address
First Line : 5881 E MAYO BLVD
Second Line :
City : PHOENIX
State : AZ
Zip : 85054-4504
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5881 E MAYO BLVD
Second Line :
City : PHOENIX
State : AZ
Zip : 85054-4504
Country : US
Telephone Number : 480-342-4800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/11/2023
Last Update Date : 04/11/2023

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Directions to “ JENNAH JOAN BAUERNFEIND PHARMD” Practice Location

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