Jeromy Dionne

Pharmacist · Broken Arrow, OK

Individual Active NPI

NPI number 1063902112

Practice location

210 S Elm Pl
Broken Arrow, OK 74012-4033
Phone
(918) 298-2691

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NPI record

NPI
1063902112
Entity type
Individual (Type 1)
Enumeration date
May 15, 2018
Last updated
May 15, 2018
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pharmacist Primary 183500000X 17905 OK

Mailing address

210 S Elm St
Jenks, OK 74037-3701
Phone
(918) 298-2691

About Jeromy Dionne

Jeromy Dionne is a healthcare provider registered in the NPI registry with the primary taxonomy Pharmacist (code 183500000X). The practice location is 210 S Elm Pl, Broken Arrow, OK 74012-4033. The NPI number 1063902112 was assigned on May 15, 2018 and the record was last updated on May 15, 2018.

Jeromy Dionne lists a license in the registry: #17905 (OK) for Pharmacist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jeromy Dionne?

The NPI number is 1063902112.

What is the phone number of Jeromy Dionne?

The phone number listed for the practice location is (918) 298-2691.

Where is Jeromy Dionne located?

210 S Elm Pl, Broken Arrow, OK 74012-4033.

What is the taxonomy code for Jeromy Dionne?

The primary taxonomy code is 183500000X – Pharmacist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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