Provider Demographics
NPI:1033104088
Name:PEPIN, JODIE L (PHARMD)
Entity type:Individual
Prefix:DR
First Name:JODIE
Middle Name:L
Last Name:PEPIN
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4111 SPRINGWILLOW LN
Mailing Address - Street 2:
Mailing Address - City:ROUND ROCK
Mailing Address - State:TX
Mailing Address - Zip Code:78681-1064
Mailing Address - Country:US
Mailing Address - Phone:512-879-4123
Mailing Address - Fax:512-324-4720
Practice Address - Street 1:201 SETON PKWY
Practice Address - Street 2:SETON MEDICAL CENTER WILLIAMSON
Practice Address - City:ROUND ROCK
Practice Address - State:TX
Practice Address - Zip Code:78665
Practice Address - Country:US
Practice Address - Phone:512-324-4000
Practice Address - Fax:512-324-4720
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-15
Last Update Date:2008-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX357771835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy