Individual
DR. JERRY SIEGEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D
Contact information
Practice address
8467 E MAIN ST, REYNOLDSBURG, OH 43068-4707
(614) 863-2000
(614) 863-2000
Mailing address
374 LYTTON WAY, GAHANNA, OH 43230-3331
(614) 783-8582
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
03311879
OH
Other
Enumeration date
12/23/2020
Last updated
12/23/2020
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