Individual
JASON BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
310 VERNON AVE, DENTON, NC 27239-8913
(336) 859-4572
Mailing address
251 BUSHNEY LOOP, MOORESVILLE, NC 28115-8100
(304) 731-3454
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
27496
NC
Other
Enumeration date
09/04/2018
Last updated
09/04/2018
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