Jeremiah Rosendo Northern, PHARM D

NPI #1164898193 in Waco, Texas

Provider Information

NPI Number: 1164898193
Entity Type: Individual
Name: Jeremiah Rosendo Northern, PHARM D
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: PHARM D
Enumeration Date: Aug 13, 2015
Last Updated: Aug 13, 2015

Practice Location

Address: 5401 BOSQUE BLVD
City: Waco
State: Texas
ZIP Code: 76710-4442
Phone: (254) 399-0067

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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