MEDICARE: JAMI MANDEL 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
1	183500000X	Pharmacist	38813	TX

General Provider Information

NPI Number	:	1881474781
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMI MANDEL RPH

Provider Business Mailing Address
First Line	:	6527 WICKERWOOD DR
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75248-2930
Country	:	US
Telephone Number	:	214-505-6016
Fax Number	:

Provider Business Practice Location Address
First Line	:	6527 WICKERWOOD DR
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75248-2930
Country	:	US
Telephone Number	:	214-505-6016
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/29/2023
Last Update Date	:	09/29/2023

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Directions to “ JAMI MANDEL RPH” Practice Location

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