Jenny Dice
Individual provider Active NPI Pharmacist · Hancock, MI
NPI 1891267571 · NPPES record last updated Dec 19, 2018
Key facts
- NPI
- 1891267571
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 5302042641 (MI)
- Practice address
- 500 Campus Dr
Hancock, MI 49930-1452 - Phone
- (906) 483-1919
- NPI assigned
- Dec 19, 2018
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5302042641 | MI | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 5302042641 | MI | Yes |
Addresses
Primary practice location
500 Campus Dr
Hancock, MI 49930-1452
Mailing address
500 Campus Dr
Hancock, MI 49930-1452
Phone (906) 483-1919
Other practice location 1
600 MacInnes Dr
Houghton, MI 49931-1144
Phone (906) 483-1818
Other providers in Hancock, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 19, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.