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NPI Code Detail

MEDICARE: DR. JENORA LYN PARKER PHARMD

MEDICARE: DR. JENORA LYN PARKER 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
1183500000XPharmacist050504-1NY
2183500000XPharmacist18978MD

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1050504-1OTHERNYPHARMACIST LICENSE NUMBER

General Provider Information

NPI Number : 1881872885
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JENORA LYN PARKER PHARMD
Provider Business Mailing Address
First Line : 8606 PHILADELPHIA RD
Second Line :
City : ROSEDALE
State : MD
Zip : 21237
Country : US
Telephone Number : 410-238-7705
Fax Number : 410-238-7958
Provider Business Practice Location Address
First Line : 8606 PHILADELPHIA RD
Second Line :
City : ROSEDALE
State : MD
Zip : 21237-3021
Country : US
Telephone Number : 410-238-7705
Fax Number : 410-238-7958
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/01/2008
Last Update Date : 12/04/2015

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