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NPI Code Detail

MEDICARE: MARENA SAMER

MEDICARE: MARENA SAMER
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
1183500000XPharmacist45079TN

General Provider Information

NPI Number : 1861162356
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARENA SAMER
Provider Business Mailing Address
First Line : 105 YVONNE CT
Second Line :
City : GOODLETTSVILLE
State : TN
Zip : 37072-3151
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 110 INDIAN LAKE BLVD
Second Line :
City : HENDERSONVILLE
State : TN
Zip : 37075-6206
Country : US
Telephone Number : 615-264-1350
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/15/2021
Last Update Date : 09/15/2021

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Directions to “ MARENA SAMER ” Practice Location

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