Jaclynn R. Laviolette

Pharmacist · Niles, MI

Individual Active NPI

NPI number 1437759636

Practice location

2107 S 11TH St
Niles, MI 49120-4060
Phone
(269) 683-5573

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NPI record

NPI
1437759636
Entity type
Individual (Type 1)
Enumeration date
October 27, 2020
Last updated
October 27, 2020
Certified
October 27, 2020
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pharmacist Primary 183500000X 5302029320 MI

Mailing address

19241 Copper Brook Dr
South Bend, IN 46637-2417

About Jaclynn Laviolette

Jaclynn R. Laviolette is a healthcare provider registered in the NPI registry with the primary taxonomy Pharmacist (code 183500000X). The practice location is 2107 S 11TH St, Niles, MI 49120-4060. The NPI number 1437759636 was assigned on October 27, 2020 and the record was last updated on October 27, 2020.

Jaclynn Laviolette lists a license in the registry: #5302029320 (MI) 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 Jaclynn R. Laviolette?

The NPI number is 1437759636.

What is the phone number of Jaclynn Laviolette?

The phone number listed for the practice location is (269) 683-5573.

Where is Jaclynn Laviolette located?

2107 S 11TH St, Niles, MI 49120-4060.

What is the taxonomy code for Jaclynn Laviolette?

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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