Individual
JASON BACKEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
241 S MAIN ST, CADIZ, OH 43907-1128
(740) 942-2726
(740) 942-2182
Mailing address
241 S MAIN ST, CADIZ, OH 43907-1128
(740) 942-2726
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
03-3-22148
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2226095
—
OH
05
—
6001237000
—
WV
Enumeration date
06/10/2005
Last updated
07/08/2007
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