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NPI Code Detail

MEDICARE: SAMANTHA ZIEMNIAK

MEDICARE: SAMANTHA ZIEMNIAK
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
1183500000XPharmacist26030927AIN

General Provider Information

NPI Number : 1992536676
Entity Type Code : Individual
Provider Name (Legal Business Name) : SAMANTHA ZIEMNIAK
Provider Business Mailing Address
First Line : 5311 COLDWATER RD
Second Line :
City : FORT WAYNE
State : IN
Zip : 46825-5444
Country : US
Telephone Number : 260-484-4528
Fax Number :
Provider Business Practice Location Address
First Line : 5311 COLDWATER RD
Second Line :
City : FORT WAYNE
State : IN
Zip : 46825-5444
Country : US
Telephone Number : 260-484-4528
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/13/2024
Last Update Date : 08/14/2024

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Directions to “ SAMANTHA ZIEMNIAK ” Practice Location

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