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NPI Code Detail

MEDICARE: JENNIFER YOURICH PHARM D

MEDICARE: JENNIFER YOURICH PHARM D
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
1183500000XPharmacistRP437780PA

General Provider Information

NPI Number : 1912082553
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER YOURICH PHARM D
Provider Business Mailing Address
First Line : 7505 PINE CREEK DR
Second Line :
City : BRIDGEVILLE
State : PA
Zip : 15017-1228
Country : US
Telephone Number : 412-914-0732
Fax Number :
Provider Business Practice Location Address
First Line : 3239 WASHINGTON PIKE
Second Line :
City : BRIDGEVILLE
State : PA
Zip : 15017-1460
Country : US
Telephone Number : 412-914-0752
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/25/2006
Last Update Date : 07/08/2007

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