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NPI Code Detail

MEDICARE: JASON DOENGES R.PH.

MEDICARE: JASON DOENGES R.PH.
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
1183500000XPharmacist03122815OH

General Provider Information

NPI Number : 1972965143
Entity Type Code : Individual
Provider Name (Legal Business Name) : JASON DOENGES R.PH.
Provider Business Mailing Address
First Line : 2795 CHARTER ST
Second Line :
City : COLUMBUS
State : OH
Zip : 43228-4607
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2795 CHARTER ST
Second Line :
City : COLUMBUS
State : OH
Zip : 43228-4607
Country : US
Telephone Number : 614-850-6700
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/25/2016
Last Update Date : 03/25/2016

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Directions to “ JASON DOENGES R.PH.” Practice Location

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