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NPI Code Detail

MEDICARE: JENNIFER BERKBIGLER

MEDICARE:   JENNIFER  BERKBIGLER
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
1183500000XPharmacist2007025919MO

General Provider Information

NPI Number : 1972972958
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER BERKBIGLER
Provider Business Mailing Address
First Line : 1025 E HIGHWAY 72 BYP
Second Line :
City : FREDERICKTOWN
State : MO
Zip : 63645-7326
Country : US
Telephone Number : 573-783-6000
Fax Number :
Provider Business Practice Location Address
First Line : 1025 E HIGHWAY 72 BYP
Second Line :
City : FREDERICKTOWN
State : MO
Zip : 63645-7326
Country : US
Telephone Number : 573-783-6000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/19/2015
Last Update Date : 09/19/2015

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Directions to “ JENNIFER BERKBIGLER ” Practice Location

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