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NPI Code Detail

MEDICARE: JENNIFER COURTNEY PHARMD

MEDICARE: JENNIFER COURTNEY 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
1183500000XPharmacist73025CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
173025OTHERCACALIFORNIA BOARD OF PHARMACY

General Provider Information

NPI Number : 1861917767
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER COURTNEY PHARMD
Provider Business Mailing Address
First Line : 3257 FOLSOM BLVD
Second Line :
City : SACRAMENTO
State : CA
Zip : 95816-5220
Country : US
Telephone Number : 916-442-5891
Fax Number : 916-442-4432
Provider Business Practice Location Address
First Line : 3257 FOLSOM BLVD
Second Line :
City : SACRAMENTO
State : CA
Zip : 95816-5220
Country : US
Telephone Number : 916-442-5891
Fax Number : 916-442-4432
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/11/2017
Last Update Date : 08/05/2024

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Directions to “ JENNIFER COURTNEY PHARMD” Practice Location

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