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NPI Code Detail

MEDICARE: DR. JENNIFER MOLL PHARMD

MEDICARE: DR. JENNIFER MOLL 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
1183500000XPharmacist33889TN

General Provider Information

NPI Number : 1982976338
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JENNIFER MOLL PHARMD
Provider Business Mailing Address
First Line : 2471 JACKSON AVE
Second Line :
City : MEMPHIS
State : TN
Zip : 38108-3318
Country : US
Telephone Number : 901-454-1615
Fax Number :
Provider Business Practice Location Address
First Line : 2471 JACKSON AVE
Second Line :
City : MEMPHIS
State : TN
Zip : 38108-3318
Country : US
Telephone Number : 901-454-1615
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/01/2012
Last Update Date : 05/07/2013

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Directions to “ DR. JENNIFER MOLL PHARMD” Practice Location

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